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General NPI Number Information
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NPI Number | 1487973228
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Entity Type | Organization
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Legal Business Name | NOOR MEDICAL CARE PLLC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 1036 COMMACK RD
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City | DIX HILLS
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State | NY
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Zip | 11746-8210
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Country | US
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Telephone | 631-940-7017
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Fax | 631-940-7018
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Provider Business Mailing Address
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Address Line | 1036 COMMACK RD
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City | DIX HILLS
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State | NY
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Zip | 11746-8210
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Country | US
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Telephone | 631-940-7017
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Fax | 631-940-7017
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Authorized Official
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Title or Position | MD
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Name | DR. SHEHLA SHABNAM
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Credential |
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Telephone | 631-940-7017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 250524
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License Number State | NY
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