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General NPI Number Information
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NPI Number | 1831519495
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Entity Type | Individual
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Provider Name | FIRAS MAHMOOD SHAKIR AL-ANI MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1 HEALTHY WAY
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City | OCEANSIDE
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State | NY
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Zip | 11572-1551
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Country | US
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Telephone | 516-632-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2209 MERRICK RD STE 100
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City | MERRICK
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State | NY
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Zip | 11566-4770
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 300638
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME152899
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 300638
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License Number State | NY
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