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General NPI Number Information
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NPI Number | 1194836676
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Entity Type | Individual
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Provider Name | SHEHZAD HAFIZ CHOUDRY MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 89 W COPELAND DR
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City | ORLANDO
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State | FL
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Zip | 32806-2002
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Country | US
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Telephone | 321-841-1570
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Fax | 321-841-1569
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Provider Business Mailing Address
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Address Line | 89 W COPELAND DR
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City | ORLANDO
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State | FL
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Zip | 32806-2002
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Country | US
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Telephone | 321-841-1570
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Fax | 321-841-1569
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 200501013
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2005-01013
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | ME141780
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License Number State | FL
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