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General NPI Number Information
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NPI Number | 1982882239
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Entity Type | Individual
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Provider Name | TAMER BARSOUM GHALY M.D
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-8063
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Country | US
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Telephone | 860-679-8080
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Fax | 860-679-1430
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-8082
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Country | US
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Telephone | 860-679-8080
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Fax | 860-679-1430
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 047620
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 047620
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 047620
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License Number State | CT
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