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General NPI Number Information
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NPI Number | 1467029496
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Entity Type | Individual
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Provider Name | MUHAMMAD ELSAYED GHALLAB M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 82-68 164TH STREET, N BUILDING, 7TH FL, RM N-705
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City | JAMAICA
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State | NY
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Zip | 11432
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Country | US
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Telephone | 718-883-3000
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Fax | 718-883-6197
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Provider Business Mailing Address
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Address Line | 7840 164TH ST APT 6D
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City | FRESH MEADOWS
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State | NY
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Zip | 11366
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Country | US
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Telephone | 929-582-9048
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Fax | 718-883-6197
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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