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General NPI Number Information
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NPI Number | 1528948593
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Entity Type | Individual
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Provider Name | MEHJABIN ALAM
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Gender | Female
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 69-70 GRAND CENTRAL PARKWAY FOREST HILLS
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City | NEW YORK
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State | NY
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Zip | 11375
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Country | US
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Telephone | 718-263-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 184-23 N CONDUIT AVENUE
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City | SPRINGFIELD GARDEN
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State | NY
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Zip | 11413
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Country | US
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Telephone | 929-342-9986
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | P136811
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License Number State | NY
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