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General NPI Number Information
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NPI Number | 1689646424
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Entity Type | Organization
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Legal Business Name | FELIX I OVIASU MD PC AND MOHAMMED MUNEERUDDIN PHYSICIAN PC LLP
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 400 GARDEN CITY PLZ SUITE 303
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City | GARDEN CITY
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State | NY
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Zip | 11530-3322
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Country | US
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Telephone | 516-742-5700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | OLD WESTBURY
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State | NY
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Zip | 11568-0253
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OFFICER
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Name | FELIX I OVIASU
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Credential | MD
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Telephone | 516-742-5700
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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 | 167440
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License Number State | NY
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