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General NPI Number Information
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NPI Number | 1427037159
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Entity Type | Individual
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Provider Name | AHMAD M MEHDI MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 505 STATE ROUTE 281
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City | TULLY
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State | NY
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Zip | 13159-2547
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Country | US
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Telephone | 315-696-7304
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Fax | 315-696-5251
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Provider Business Mailing Address
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Address Line | 505 STATE ROUTE 281
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City | TULLY
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State | NY
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Zip | 13159
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Country | US
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Telephone | 315-696-7304
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Fax | 315-696-5251
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2153301
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License Number State | NY
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