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General NPI Number Information
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NPI Number | 1336881341
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Entity Type | Organization
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Legal Business Name | AFZAAL IQBAL MD INC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 1400 REYNOLDS AVE STE 100
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City | IRVINE
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State | CA
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Zip | 92614-5562
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Country | US
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Telephone | 949-397-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 25422 TRABUCO RD STE 105
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City | LAKE FOREST
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State | CA
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Zip | 92630-2796
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Country | US
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Telephone | 949-209-8415
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Fax | 445-777-7810
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. AFZAAL IQBAL
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Credential | MD
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Telephone | 949-209-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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