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General NPI Number Information
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NPI Number | 1356629620
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Entity Type | Individual
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Provider Name | AKRAM SAEED AL-THEBLAH MS,RN,FNP
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Gender | Male
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 750 E ADAMS ST UPSTATE UNIVERSITY HOSPITAL
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City | SYRACUSE
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State | NY
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Zip | 13210
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Country | US
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Telephone | 315-424-7726
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Fax |
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Provider Business Mailing Address
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Address Line | 110 STEUBEN ST
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City | SYRACUSE
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State | NY
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Zip | 13208-2004
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Country | US
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Telephone | 315-424-7726
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F336837-1
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License Number State | NY
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