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General NPI Number Information
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NPI Number | 1194907212
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Entity Type | Organization
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Legal Business Name | MOHAMMAD S BAJWA MD PC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 10 HOSPITAL DR SUITE 310
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-533-7772
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Fax | 413-534-1699
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL DRIVE THIRD FLOOR STE 310
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City | HOLYOKE
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State | MA
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Zip | 01040-6603
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Country | US
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Telephone | 413-533-7772
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Fax | 413-534-1699
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD SALEEM BAJWA
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Credential |
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Telephone | 413-533-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44652
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License Number State | MA
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