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General NPI Number Information
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NPI Number | 1669428165
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Entity Type | Individual
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Provider Name | FOUAD GEORGES BOU HARB MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/07/2024
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Provider Practice Location Address
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Address Line | 2525 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1705
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Country | US
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Telephone | 516-877-4013
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 JERICHO TPKE 306
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4710
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Country | US
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Telephone | 516-672-8841
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 238478
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 238478
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License Number State | NY
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