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General NPI Number Information
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NPI Number | 1275073785
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Entity Type | Individual
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Provider Name | NAYYARA MAHMOOD PHD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2017
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 300 COMMUNITY DR NORTH SHORE UNIVERSITY HOSPITAL
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City | MANHASSET
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State | NY
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Zip | 11030-3816
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Country | US
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Telephone | 516-562-3899
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Fax | 516-562-2691
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Provider Business Mailing Address
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Address Line | 41 BUNKER LN
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City | HICKSVILLE
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State | NY
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Zip | 11801-6403
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Country | US
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Telephone | 646-515-9986
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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 | 207SC0300X
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Taxonomy Name | Clinical Cytogenetics Physician
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License Number | CQ CODE: MAHMN1
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License Number State | NY
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