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General NPI Number Information
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NPI Number | 1205866753
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Entity Type | Organization
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Legal Business Name | ALI JAFFAR MD PA
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD STE 144
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City | AMARILLO
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State | TX
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Zip | 79119-6406
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Country | US
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Telephone | 806-352-7200
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Fax | 806-352-3411
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Provider Business Mailing Address
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Address Line | PO BOX 51225
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City | AMARILLO
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State | TX
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Zip | 79159-1225
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Country | US
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Telephone | 806-352-7200
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Fax | 806-352-3411
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI JAFFAR
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Credential | M.D.
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Telephone | 806-352-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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