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General NPI Number Information
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NPI Number | 1710339213
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Entity Type | Individual
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Provider Name | AHMED ALEMAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 550 1ST AVE # HCC4G
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 646-501-2465
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Fax | 646-754-9598
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD STE 205
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City | BETHPAGE
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State | NY
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Zip | 11714-3472
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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 |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 91613
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License Number State | SC
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