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General NPI Number Information
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NPI Number | 1073885018
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Entity Type | Organization
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Legal Business Name | SARFAR INC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 4562 HUNTING TRL
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City | LAKE WORTH
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State | FL
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Zip | 33467-3535
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Country | US
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Telephone | 561-310-5393
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Fax | 561-537-7016
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Provider Business Mailing Address
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Address Line | 4562 HUNTING TRL
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City | LAKE WORTH
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State | FL
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Zip | 33467-3535
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Country | US
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Telephone | 561-310-5393
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Fax | 561-537-7016
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Authorized Official
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Title or Position | OWNER
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Name | DR. FAROOQ AHMED
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Credential | MD
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Telephone | 561-310-5393
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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 | ME69574
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License Number State | FL
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