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General NPI Number Information
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NPI Number | 1104148188
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Entity Type | Individual
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Provider Name | MR. SYED I NAQVI
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Gender | Male
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 3112 BROADWAY
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106-2666
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Country | US
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Telephone | 718-728-1212
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Fax | 718-274-6942
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Provider Business Mailing Address
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Address Line | 7 DUCHESS CT
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City | DIX HILLS
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State | NY
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Zip | 11746-6047
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Country | US
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Telephone | 631-491-8555
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Fax | 718-274-6942
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 30261
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License Number State | NY
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