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General NPI Number Information
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NPI Number | 1508102302
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Entity Type | Organization
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Legal Business Name | PULMONARY,CRITICALCARE,SLEEP &INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 12/25/2012
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Last Update Date | 12/25/2012
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Provider Practice Location Address
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Address Line | 64 CENTRAL AVE
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4104
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Country | US
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Telephone | 646-319-1150
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Fax |
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Provider Business Mailing Address
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Address Line | 64 CENTRAL AVE
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD HAMIDUZ ZAMAN
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Credential | MD
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Telephone | 646-319-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 163748
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License Number State | NY
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