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General NPI Number Information
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NPI Number | 1407629645
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Entity Type | Organization
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Legal Business Name | AZIZ A SOOMRO M.D P.C.
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 11/04/2023
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Provider Practice Location Address
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Address Line | 187 DOT CT E
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City | OCEANSIDE
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State | NY
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Zip | 11572-5920
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Country | US
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Telephone | 929-560-6497
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Fax |
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Provider Business Mailing Address
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Address Line | 187 DOT CT E
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City | OCEANSIDE
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State | NY
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Zip | 11572-5920
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Country | US
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Telephone | 929-468-6584
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AZIZ AHMED SOOMRO
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Credential | MD
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Telephone | 914-560-6497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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