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General NPI Number Information
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NPI Number | 1336135656
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Entity Type | Individual
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Provider Name | AHMED DARDEIR MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 40 HUNT CLUB BLVD
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City | HAMPTON
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State | VA
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Zip | 23666-2274
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Country | US
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Telephone | 757-825-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 124 ASHWORTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4904
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Country | US
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Telephone | 917-202-1555
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Fax | 718-494-4969
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101287615
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 022859
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License Number State | NY
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