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General NPI Number Information
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NPI Number | 1174703102
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Entity Type | Individual
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Provider Name | SYED K. AHSAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5825 PLANK RD STE 105
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-5207
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Country | US
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Telephone | 540-785-2727
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Fax | 540-785-3558
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Provider Business Mailing Address
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Address Line | PO BOX 87
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City | SAN ANTONIO
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State | TX
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Zip | 78291-0087
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Country | US
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Telephone | 210-358-9172
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Fax | 210-358-9183
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N3424
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2024-0928
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025-02016
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101285427
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License Number State | VA
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