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General NPI Number Information
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NPI Number | 1538597489
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Entity Type | Organization
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Legal Business Name | ULSTER GASTROENTEROLOGY, PLLC
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 301 HURLEY AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2416
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Country | US
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Telephone | 845-331-0938
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Fax | 845-331-0989
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Provider Business Mailing Address
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Address Line | 301 HURLEY AVE
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City | KINGSTON
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State | NY
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Zip | 12401-2416
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Country | US
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Telephone | 845-331-0938
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Fax | 845-331-0989
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Authorized Official
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Title or Position | PRIMARY MD
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Name | DR. REHAM I EL-SHAER
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Credential | MD
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Telephone | 845-331-0938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 121597
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License Number State | NY
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