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General NPI Number Information
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NPI Number | 1982625950
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Entity Type | Organization
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Legal Business Name | BISHER AKIL MD A MEDICAL CORP
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 W 19TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10011-4121
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Country | US
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Telephone | 212-929-2629
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Fax |
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Provider Business Mailing Address
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Address Line | 155 W 19TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10011-4121
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Country | US
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Telephone | 212-929-2629
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER PRES
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Name | MR. BISHER AKIL
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Credential | MD
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Telephone | 212-929-2629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 2363971
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License Number State | NY
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