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General NPI Number Information
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NPI Number | 1801899877
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Entity Type | Individual
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Provider Name | ALI HAMMOUD MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 55 GRAND ST STE 106
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City | KINGSTON
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State | NY
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Zip | 12401-3933
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Country | US
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Telephone | 845-339-8700
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Fax | 914-593-7881
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Provider Business Mailing Address
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Address Line | 1351 ROUTE 55 STE 200
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5128
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Country | US
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Telephone | 845-475-9661
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Fax | 845-475-9938
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 205896
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License Number State | NY
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