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General NPI Number Information
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NPI Number | 1972741056
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Entity Type | Individual
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Provider Name | NADER GANIM M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5130 E MAIN STREET RD STE 2
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City | BATAVIA
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State | NY
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Zip | 14020-3444
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Country | US
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Telephone | 585-344-1421
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Fax |
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Provider Business Mailing Address
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Address Line | 598 10TH AVE APT 4R
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City | NEW YORK
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State | NY
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Zip | 10036-3002
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Country | US
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Telephone | 212-444-2645
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 131074191
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME125309
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License Number State | FL
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