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General NPI Number Information
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NPI Number | 1053575167
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Entity Type | Organization
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Legal Business Name | A SULTAN LALANI M D LTD
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 2175 S AVENUE A STE B
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City | YUMA
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State | AZ
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Zip | 85364-8458
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Country | US
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Telephone | 928-783-7811
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Fax | 928-783-0036
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Provider Business Mailing Address
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Address Line | 2175 S AVENUE A STE B
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City | YUMA
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State | AZ
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Zip | 85364-8458
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Country | US
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Telephone | 928-783-7811
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Fax | 928-783-0036
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Authorized Official
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Title or Position | OTOLARYNGOLOGY
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Name | DR. ABDUL SULTAN LALANI I
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Credential | M.D.
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Telephone | 928-783-7811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MD10298
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License Number State | AZ
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