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General NPI Number Information
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NPI Number | 1982078499
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Entity Type | Organization
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Legal Business Name | AKASH MEDICAL CARE, PLLC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 79 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-2207
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Country | US
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Telephone | 718-431-0009
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Fax | 718-431-0451
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Provider Business Mailing Address
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Address Line | 79 CHURCH AVE
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City | BROOKLYN
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State | NY
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Zip | 11218-2207
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Country | US
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Telephone | 718-431-0009
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Fax | 718-431-0451
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Authorized Official
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Title or Position | MD
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Name | AKASH FERDAUS
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Credential |
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Telephone | 646-897-9152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 266730
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License Number State | NY
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