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General NPI Number Information
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NPI Number | 1487953717
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Entity Type | Organization
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Legal Business Name | S&S MEDICAL, P.C
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Dates
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Enumeration Date | 03/25/2011
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 70-62 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11367
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Country | US
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Telephone | 718-544-0565
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Fax | 718-544-0569
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Provider Business Mailing Address
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Address Line | 70-62 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11367
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Country | US
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Telephone | 718-544-0565
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Fax | 718-544-0569
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SHAZIA A SAMI
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Credential | M.D
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Telephone | 163-185-3283
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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 | 240847
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 222749-1
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License Number State | NY
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