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General NPI Number Information
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NPI Number | 1851156798
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Entity Type | Individual
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Provider Name | TABISH DAVID
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Gender | Male
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 16 TAMARACK LN
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City | SCHENECTADY
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State | NY
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Zip | 12309-1852
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Country | US
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Telephone | 518-227-9897
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12742
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City | ALBANY
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State | NY
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Zip | 12212-2742
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Country | US
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Telephone | 518-227-9897
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 192914127
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License Number State | NY
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