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NPI 1750339271

NPI 1750339271 : LAURA AMRAM MD : FOREST HILLS, NY

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General NPI Number Information
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    NPI Number           |    1750339271
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA AMRAM MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2006
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    Last Update Date     |    11/22/2019
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Provider Practice Location Address
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    Address Line         |    7158 AUSTIN ST STE 102
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    City                 |    FOREST HILLS
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    State                |    NY
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    Zip                  |    11375-4735
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    Country              |    US
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    Telephone            |    347-552-9313
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    Fax                  |    646-924-3223
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Provider Business Mailing Address
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    Address Line         |    7349 188TH ST 
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    City                 |    FRESH MEADOWS
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    State                |    NY
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    Zip                  |    11366-1727
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    Country              |    US
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    Telephone            |    347-552-9313
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    237720
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    License Number State |    NY
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