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General NPI Number Information
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NPI Number | 1275916983
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Entity Type | Individual
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Provider Name | MOHAMMAD ARSALAN SIDDIQUI M.D
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 420 LOWELL DR SE STE 204
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3763
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Country | US
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Telephone | 256-536-9031
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Fax | 256-539-4240
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Provider Business Mailing Address
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Address Line | 420 LOWELL DR SE STE 204
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3763
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Country | US
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Telephone | 256-536-9031
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Fax | 256-539-4240
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301108261
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 42137
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License Number State | AL
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