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General NPI Number Information
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NPI Number | 1932362985
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Entity Type | Individual
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Provider Name | AMR ETMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 18901 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2824
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Country | US
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Telephone | 917-410-6905
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Fax | 646-878-6095
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Provider Business Mailing Address
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Address Line | 18901 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2824
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Country | US
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Telephone | 917-410-6905
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Fax | 646-878-6095
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8029A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 0101257200
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 275480-01
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License Number State | NY
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