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General NPI Number Information
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NPI Number | 1336033497
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Entity Type | Individual
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Provider Name | EMAD MASHHOOR ALWARDAT M.D
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 760 BROADWAY, BROOKLYN, NY 11206, 8TH FLOOR, INTERNAL M
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City | NEW YORK CITY
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State | NY
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Zip | 11206
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Country | US
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Telephone | 646-614-5318
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Fax |
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Provider Business Mailing Address
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Address Line | 228 SOUTH 3RD ST, BROOKLYN NY, 11211, APT 3B
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City | NEW YORK CITY
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State | NY
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Zip | 11211
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Country | US
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Telephone | 773-886-9935
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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