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General NPI Number Information
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NPI Number | 1396521696
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Entity Type | Individual
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Provider Name | MASOOD UR RAHMAN MBBS
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Gender | Male
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 288 KISSEL AVENUE APT 5 G
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City | STATEN ISLAND
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State | NY
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Zip | 10310
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Country | US
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Telephone | 929-542-7963
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Fax |
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Provider Business Mailing Address
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Address Line | SHEIKH SHAKHBOUT MEDICAL CITY
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City | ABU DHABI
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State | ABU DHABI
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Zip | 11010
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Country | AE
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Telephone |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | T2519
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License Number State | TX
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