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General NPI Number Information
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NPI Number | 1538178280
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Entity Type | Organization
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Legal Business Name | BUSHRA MINA PULMONARY & CRITICAL CARE P. C.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 E 76TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-2810
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Country | US
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Telephone | 212-794-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 125 EISENHOWER DR
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City | CRESSKILL
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State | NJ
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Zip | 07626-1703
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Country | US
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Telephone | 212-794-2800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. BUSHRA MINA
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Credential | M.D.
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Telephone | 212-794-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 187976
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License Number State | NY
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