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General NPI Number Information
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NPI Number | 1386783686
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Entity Type | Individual
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Provider Name | ABDEL RAHMAN SAYED BAKHATY MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3200 KENNEDY BOULEVARD
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City | JERSEY CITY
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State | NJ
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Zip | 07306-3416
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Country | US
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Telephone | 201-217-6822
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Fax | 201-217-6899
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Provider Business Mailing Address
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Address Line | PO BOX 3485
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City | SECAUNCUS
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State | NJ
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Zip | 07094
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Country | US
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Telephone | 201-217-6822
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Fax | 201-217-6899
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MA 042237
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License Number State | NJ
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