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General NPI Number Information
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NPI Number | 1235185760
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Entity Type | Organization
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Legal Business Name | ANJUM IRFAN, PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 103 S HIGH ST SUITE 5
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City | WEST CHESTER
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State | PA
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Zip | 19382-3262
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Country | US
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Telephone | 610-719-0530
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Fax |
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Provider Business Mailing Address
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Address Line | 917 GREYSTONE DR
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City | WEST CHESTER
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State | PA
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Zip | 19380-4368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANJUM IRFAN
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Credential | M.D.
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Telephone | 610-719-0530
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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 | MD048218L
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License Number State | PA
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