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General NPI Number Information
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NPI Number | 1386038503
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Entity Type | Individual
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Provider Name | MANSOOR SIDDIQUI MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 1020 SANSOM ST STE 239
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 159-556-8442
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 SANSOM ST STE 239
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5002
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Country | US
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Telephone | 159-556-8442
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD464332
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License Number State | PA
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