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NPI 1417938275

NPI 1417938275 : SALIM K AFRIDI MD : PLANT CITY, FL

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General NPI Number Information
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    NPI Number           |    1417938275
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    Entity Type          |    Individual 
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    Provider Name        |    SALIM K AFRIDI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/09/2005
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    Last Update Date     |    05/06/2011
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Provider Practice Location Address
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    Address Line         |    207 N PLANT AVE 
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    City                 |    PLANT CITY
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    State                |    FL
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    Zip                  |    33563-4731
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    Country              |    US
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    Telephone            |    813-719-6920
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    Fax                  |    813-719-6398
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Provider Business Mailing Address
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    Address Line         |    207 N PLANT AVE 
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    City                 |    PLANT CITY
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    State                |    FL
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    Zip                  |    33563-4731
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    Country              |    US
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    Telephone            |    813-719-6920
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    Fax                  |    813-719-6398
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    ME0073995
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    License Number State |    FL
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