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General NPI Number Information
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NPI Number | 1215245295
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Entity Type | Individual
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Provider Name | RAIF BADR RN
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Gender | Male
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 17 ADAMSON ST
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City | SELDEN
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State | NY
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Zip | 11784-4403
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Country | US
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Telephone | 631-880-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ADAMSON ST
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City | SELDEN
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State | NY
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Zip | 11784-4403
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Country | US
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Telephone | 631-880-7616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | NONE
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 163WE0900X
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Taxonomy Name | Enterostomal Therapy Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 495751-1
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 495751-1
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License Number State | NY
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