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General NPI Number Information
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NPI Number | 1184945578
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Entity Type | Organization
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Legal Business Name | JAMAL RAHAMAN GYN ONCOLOGIST PLLC
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Dates
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Enumeration Date | 06/20/2010
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Last Update Date | 06/20/2010
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Provider Practice Location Address
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Address Line | 1136 5TH AVE SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10128-0122
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Country | US
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Telephone | 212-427-1415
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Fax | 212-427-1420
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Provider Business Mailing Address
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Address Line | 1136 5TH AVE SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10128-0122
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Country | US
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Telephone | 212-427-1415
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Fax | 212-427-1420
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMAL RAHAMAN
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Credential | M.D.
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Telephone | 212-427-1415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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