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General NPI Number Information
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NPI Number | 1477197739
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Entity Type | Organization
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Legal Business Name | AMNA OMER INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 423 W 55TH ST FL T4
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City | NEW YORK
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State | NY
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Zip | 10019-4460
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Country | US
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Telephone | 902-256-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 34TH ST OFC 1O
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City | NEW YORK
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State | NY
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Zip | 10016-5230
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Country | US
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Telephone | 902-256-9202
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OMER AHMED
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Credential |
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Telephone | 902-256-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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