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General NPI Number Information
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NPI Number | 1437272846
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Entity Type | Individual
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Provider Name | BASHIR AHMAD P.A.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3720 MARTIN LUTHER KING AVENUE,SE
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City | WASHINGTON
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State | DC
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Zip | 20032
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Country | US
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Telephone | 202-279-1800
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Fax | 202-279-4943
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Provider Business Mailing Address
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Address Line | 4517 HARWICH TER
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City | UPPER MARLBORO
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State | MD
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Zip | 20772-6911
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Country | US
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Telephone | 240-993-9833
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA73
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License Number State | DC
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