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General NPI Number Information
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NPI Number | 1851703615
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Entity Type | Individual
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Provider Name | KYARI SUMAYIN NGAMDU M.D
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Gender | Male
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 4800 ALBERTA AVE
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City | EL PASO
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State | TX
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Zip | 79905-2709
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Country | US
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Telephone | 915-215-5200
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Fax | 915-545-6658
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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Country | US
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Telephone | 800-225-8885
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Fax | 508-334-1977
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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 | 273729
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License Number State | MA
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