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General NPI Number Information
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NPI Number | 1619268307
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Entity Type | Organization
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Legal Business Name | FAKHRY Y ALEXANDER MD PC
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 9719 LEFFERTS BLVD
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1235
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Country | US
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Telephone | 718-846-1900
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Fax | 718-441-9347
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Provider Business Mailing Address
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Address Line | 9719 LEFFERTS BLVD
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1235
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Country | US
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Telephone | 718-846-1900
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Fax | 718-441-9347
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | FAKHRY Y ALEXANDER
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Credential | M.D.
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Telephone | 718-846-1900
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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 | 135193
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License Number State | NY
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