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General NPI Number Information
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NPI Number | 1528877214
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Entity Type | Organization
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Legal Business Name | ALAM MEDICAL, PC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1755 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5207
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Country | US
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Telephone | 917-280-7656
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Fax |
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Provider Business Mailing Address
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Address Line | 10 EMPIRE CT
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City | DIX HILLS
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State | NY
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Zip | 11746-6704
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Country | US
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Telephone | 917-280-7656
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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. REHANA ALAM
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Credential | DO
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Telephone | 917-280-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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