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General NPI Number Information
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NPI Number | 1003072760
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Entity Type | Individual
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Provider Name | MAHREEN A SIDDIQUI MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 1500 CONCORD TERRACE, 5TH FLOOR
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City | SUNRISE
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State | FL
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Zip | 33323-3009
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Country | US
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Telephone | 954-384-0175
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Fax | 954-851-1838
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Provider Business Mailing Address
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Address Line | 1500 CONCORD TERRACE, 5TH FLOOR
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City | SUNRISE
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State | FL
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Zip | 33323-3009
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Country | US
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Telephone | 954-384-0175
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Fax | 954-851-1838
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME110342
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME110342
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License Number State | FL
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