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General NPI Number Information
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NPI Number | 1417203787
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Entity Type | Individual
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Provider Name | AHMED HAMDI ALANSARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 475 COUNTY ROAD 520
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City | MARLBORO
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State | NJ
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Zip | 07746-1059
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Country | US
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Telephone | 732-370-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 187 ROUTE 36 STE 230
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1306
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Country | US
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Telephone | 732-222-3805
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA10764000
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License Number State | NJ
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