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General NPI Number Information
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NPI Number | 1245591858
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Entity Type | Organization
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Legal Business Name | MICHAEL AFSHARI MD, PC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 21604 UNION TPKE
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City | BAYSIDE
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-740-0800
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Fax | 718-701-1150
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Provider Business Mailing Address
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Address Line | 21604 UNION TPKE
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City | BAYSIDE
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-740-0800
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Fax | 718-701-1150
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL AFSHARI
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Credential | MD, PC
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Telephone | 718-740-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 125622
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License Number State | NY
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