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General NPI Number Information
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NPI Number | 1043525520
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Entity Type | Individual
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Provider Name | MAAZ BIN BADSHAH MD
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Gender | Male
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1205 S GRANGE AVE STE 510
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City | SIOUX FALLS
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State | SD
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Zip | 57105-0410
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Country | US
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Telephone | 605-328-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 222 STATION PLZ N STE 428
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City | MINEOLA
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State | NY
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Zip | 11501-3819
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Country | US
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Telephone | 516-663-2066
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Fax | 516-663-4617
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036141035
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01072399A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 18947
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 13354
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License Number State | SD
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 297877
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License Number State | NY
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