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General NPI Number Information
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NPI Number | 1235766478
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Entity Type | Individual
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Provider Name | USMAN ALI SHARIF MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 09/11/2020
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Provider Practice Location Address
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Address Line | 725 NORTH ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-4124
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Country | US
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Telephone | 413-395-7513
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Fax |
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Provider Business Mailing Address
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Address Line | 24 JONES ST APT 333
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City | NEWARK
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State | NJ
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Zip | 07103-3842
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Country | US
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Telephone | 646-755-5914
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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 | 286118
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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