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General NPI Number Information
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NPI Number | 1093622524
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Entity Type | Individual
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Provider Name | SHEHRYAR BOKHARI AA
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Gender | Male
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 615 S NEW BALLAS RD DEPT OF
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 636-386-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 5512 MORANT BAY PATH
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City | KISSIMMEE
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State | FL
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Zip | 34758-7474
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Country | US
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Telephone | 954-451-4208
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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