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General NPI Number Information
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NPI Number | 1851118293
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Entity Type | Individual
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Provider Name | BESHR ABDELRAOUF ELAASAR SR.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1251 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-1415
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Country | US
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Telephone | 917-450-3227
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 RALPH AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-1415
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Country | US
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Telephone | 347-680-0183
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 01427501
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License Number State | NY
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