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General NPI Number Information
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NPI Number | 1275391377
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Entity Type | Individual
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Provider Name | IFFAT JAVED HASHMI
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1210 SILAS DEANE HWY
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4328
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Country | US
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Telephone | 258-860-3464
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Fax |
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Provider Business Mailing Address
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Address Line | 833 DEMING RD UNIT 18
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City | BERLIN
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State | CT
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Zip | 06037-1662
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Country | US
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Telephone | 614-432-9167
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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