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General NPI Number Information
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NPI Number | 1427019520
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Entity Type | Individual
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Provider Name | RUDABAH HASAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 140 LOCKWOOD AVE SUITE 308
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-4915
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Country | US
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Telephone | 914-636-5700
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Fax | 917-210-6669
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Provider Business Mailing Address
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Address Line | 55 HARMON AVE
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City | PELHAM
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State | NY
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Zip | 10803-1709
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Country | US
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Telephone | 914-636-5700
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Fax | 917-210-6669
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 237703
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License Number State | NY
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