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General NPI Number Information
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NPI Number | 1144480153
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Entity Type | Individual
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Provider Name | SHARIQ SYED RAZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3509 N BROAD ST GME OFFICE, 2ND FL, BOYER PAVILION, TEMPLE UNIV HOSP
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City | PHILADELPHIA
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State | PA
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Zip | 19140-4105
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Country | US
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Telephone | 215-707-3804
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-0000
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Fax | 410-500-4266
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD456617
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | D0104026
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License Number State | MD
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