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General NPI Number Information
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NPI Number | 1447370259
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Entity Type | Individual
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Provider Name | SYEDA I HASAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 696 DUTCHESS TPKE STE 5G
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6444
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Country | US
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Telephone | 845-463-2896
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Fax |
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Provider Business Mailing Address
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Address Line | 696 DUTCHESS TPKE STE 5G
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6444
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Country | US
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Telephone | 845-463-2896
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 67344
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MA063892
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License Number State | NJ
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