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General NPI Number Information
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NPI Number | 1063471282
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Entity Type | Individual
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Provider Name | LIAQUAT ALLARAKHIA M.D.,
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Gender | Male
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 4812 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1705
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Country | US
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Telephone | 941-727-3937
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Fax | 941-727-7001
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Provider Business Mailing Address
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Address Line | 4812 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-1705
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Country | US
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Telephone | 941-727-3937
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Fax | 941-727-7001
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME0066629
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License Number State | FL
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