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General NPI Number Information
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NPI Number | 1437125481
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Entity Type | Individual
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Provider Name | MUHAMMAD ALI SIDDIQUI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 4405 ADRIEL LN
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City | PLANO
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State | TX
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Zip | 75074-0335
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Country | US
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Telephone | 870-718-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 ADRIEL LN
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City | PLANO
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State | TX
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Zip | 75074-0335
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Country | US
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Telephone | 870-718-8384
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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 | 4301502858
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License Number State | MI
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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 | 61863
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License Number State | TN
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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 | E4343
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 87073
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01084709A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R8828
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License Number State | TX
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