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General NPI Number Information
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NPI Number | 1194257840
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Entity Type | Individual
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Provider Name | NOEEN SARFRAZ MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 901 E SOUTHWIND RD
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City | SPRINGFIELD
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State | IL
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Zip | 62703-5125
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Country | US
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Telephone | 217-786-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 KINGS HWY PSYCHIATRY
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City | SHREVEPORT
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State | LA
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Zip | 71103-4228
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Country | US
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Telephone | 318-675-6619
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 336117065
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License Number State | IL
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