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General NPI Number Information
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NPI Number | 1982065561
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Entity Type | Individual
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Provider Name | AMEER SYED ALI D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2016
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 2737 S BROADWAY AVE
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City | TYLER
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State | TX
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Zip | 75701-5413
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Country | US
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Telephone | 903-592-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1000
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Country | US
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Telephone | 516-705-3954
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0102205924
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | T2307
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License Number State | TX
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