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General NPI Number Information
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NPI Number | 1548192552
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Entity Type | Individual
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Provider Name | MD SHAFWANUR RAHMAN MBBS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 318 S ALBANY ST
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City | ITHACA
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State | NY
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Zip | 14850-5406
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Country | US
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Telephone | 607-273-4166
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Fax | 607-277-7004
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Provider Business Mailing Address
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Address Line | 1583 E 66TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11234-6005
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Country | US
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Telephone | 516-862-1600
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P142296
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License Number State | NY
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