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General NPI Number Information
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NPI Number | 1235439456
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Entity Type | Individual
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Provider Name | NEVEN I NASSIF M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 2315 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6623
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Country | US
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Telephone | 718-477-6900
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Fax | 718-477-7862
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Provider Business Mailing Address
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Address Line | 9 ABBEY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10308-1346
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Country | US
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Telephone | 718-801-2574
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Fax | 718-477-7862
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 259120
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License Number State | NY
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