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General NPI Number Information
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NPI Number | 1255643482
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Entity Type | Individual
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Provider Name | SAQUIB ANSARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 285 RIVERSIDE DRIVE
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City | WELLAND
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State | ONTARIO
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Zip | L3B 5E6
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Country | CA
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Telephone | 905-735-7667
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Fax | 905-735-2997
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Provider Business Mailing Address
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Address Line | 285 RIVERSIDE DRIVE
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City | WELLAND
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State | ONTARIO
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Zip | L3B 5E6
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Country | CA
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Telephone | 905-735-7667
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Fax | 905-735-2997
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101255096
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ON-CANADA
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License Number State | ZZ
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