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General NPI Number Information
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NPI Number | 1326966631
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Entity Type | Individual
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Provider Name | MALIK FADEL NAGI
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Gender | Male
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 3495 BAILEY AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1129
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Country | US
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Telephone | 716-834-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 2174 VIOLET CIR APT 4
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-6508
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Country | US
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Telephone | 716-548-9834
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 869487
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F360169-01
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License Number State | NY
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