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General NPI Number Information
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NPI Number | 1639244221
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Entity Type | Organization
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Legal Business Name | NABIL N ABDELMALAK AND MARY S TAWFIK PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 46 STEPHEN LOOP
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4863
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Country | US
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Telephone | 718-982-8074
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Fax | 718-982-5077
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Provider Business Mailing Address
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Address Line | 46 STEPHEN LOOP
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4863
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Country | US
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Telephone | 718-982-8074
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Fax | 718-982-5077
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NABIL N ABDELMALAK
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Credential | M.D
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Telephone | 718-982-8074
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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 | 215284
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 215765
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License Number State | NY
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