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General NPI Number Information
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NPI Number | 1376275719
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Entity Type | Individual
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Provider Name | FAIZAN ASHARAF BHAI MASTER MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 13311 N 56TH ST
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City | TAMPA
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State | FL
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Zip | 33617-1161
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Country | US
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Telephone | 813-899-2015
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Fax | 813-355-5904
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Provider Business Mailing Address
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Address Line | 26854 SAXONY WAY APT 201
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6485
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Country | US
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Telephone | 682-352-6317
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME174635
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License Number State | FL
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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 | 125081015
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036172592
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License Number State | IL
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