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General NPI Number Information
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NPI Number | 1366521387
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Entity Type | Organization
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Legal Business Name | AYESHA M. SIKDER MD LLC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 5230 KY ROUTE 321 SUITE # 4
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City | PRESTONSBURG
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State | KY
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Zip | 41653-9168
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Country | US
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Telephone | 606-886-8880
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Fax | 606-886-8628
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Provider Business Mailing Address
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Address Line | 5230 KY ROUTE 321 SUITE # 4
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City | PRESTONSBURG
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State | KY
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Zip | 41653-9168
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Country | US
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Telephone | 606-886-8880
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Fax | 606-886-8628
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Authorized Official
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Title or Position | OWNER
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Name | DR. AYESHA M SIKDER
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Credential | M.D.
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Telephone | 606-886-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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