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General NPI Number Information
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NPI Number | 1659728301
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Entity Type | Individual
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Provider Name | EHAB AL BIZRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 101 NICOLLS RD SUNY AT STONY BROOK, DEPARTMENT OF ANESTHESIOLOGY
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City | STONY BROOK
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State | NY
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Zip | 11794-8480
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Country | US
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Telephone | 631-444-2975
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Fax | 631-444-2907
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Provider Business Mailing Address
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Address Line | 100 NICHOLLS ROAD DEPARTMENT OF ANESTHESIOLOGY - HSC - L4 - ROOM 060
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City | STONY BROOK
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State | NY
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Zip | 11794-8480
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Country | US
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Telephone | 631-444-2078
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 69049
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 315337
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 69049
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 315337
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License Number State | NY
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