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General NPI Number Information
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NPI Number | 1659626968
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Entity Type | Organization
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Legal Business Name | METROPOLITAN MEDICAL CARE P.C.
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 5723 141ST ST
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City | FLUSHING
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State | NY
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Zip | 11355-5318
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Country | US
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Telephone | 718-661-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 4207 ASTORIA BLVD
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City | ASTORIA
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State | NY
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Zip | 11105-1524
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Country | US
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Telephone | 347-873-0691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMED ABDELMEGEED ABDELLA AHMED
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Credential | M.D., DPM
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Telephone | 347-873-0691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 264641
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License Number State | NY
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