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General NPI Number Information
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NPI Number | 1063650224
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Entity Type | Individual
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Provider Name | MOHAMMED SIDDIQUI M.B.B.S
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Gender | Male
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 4580 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1104
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Country | US
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Telephone | 661-327-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 4580 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1104
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Country | US
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Telephone | 661-327-4411
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A137180
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License Number State | CA
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