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General NPI Number Information
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NPI Number | 1790934784
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Entity Type | Organization
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Legal Business Name | MAGDY SHAABAN PHYSICIAN PC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 865 MERRICK RD STE 303
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City | BALDWIN
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State | NY
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Zip | 11510-3338
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Country | US
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Telephone | 516-223-0700
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Fax | 516-223-5347
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Provider Business Mailing Address
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Address Line | 865 MERRICK ROAD SUITE 303
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City | BALDWIN
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State | NY
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Zip | 11510
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Country | US
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Telephone | 516-223-0700
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Fax | 516-223-5347
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAGDY M SHAABAN
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Credential | MD
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Telephone | 516-223-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 183174
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License Number State | NY
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