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General NPI Number Information
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NPI Number | 1033167960
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Entity Type | Individual
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Provider Name | SUFYAN A SHEIKH MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 295 VARNUM AVE ANESTHETICS OF LOWELL, PC
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-454-0941
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SWEENEY FARM LANE
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City | ACTON
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State | MA
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Zip | 01720
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 159104
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License Number State | MA
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