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NPI 1538076039

NPI 1538076039 : ASHRAF MEDICAL GROUP PLLC : MOHEGAN LAKE, NY

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General NPI Number Information
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    NPI Number           |    1538076039
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHRAF MEDICAL GROUP PLLC 
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Dates
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    Enumeration Date     |    08/27/2026
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    Last Update Date     |    08/27/2026
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Provider Practice Location Address
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    Address Line         |    3144 E MAIN ST 
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    City                 |    MOHEGAN LAKE
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    State                |    NY
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    Zip                  |    10547-1517
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    Country              |    US
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    Telephone            |    845-204-9260
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 ROUTE 376 STE H 
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    City                 |    WAPPINGERS FALLS
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    State                |    NY
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    Zip                  |    12590-6496
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    Country              |    US
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    Telephone            |    845-204-9260
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BILLING ADMIN/ CREDENTIALING
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    Name                 |     KATELIN ANNE BUICE 
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    Credential           |    
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    Telephone            |    845-204-9260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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