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General NPI Number Information
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NPI Number | 1437374188
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Entity Type | Organization
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Legal Business Name | SHEIKH A. LATIF DO A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 1524 W. LACEY BLVD. SUITE 201
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City | HANFORD
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State | CA
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Zip | 93230
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Country | US
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Telephone | 877-360-8346
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Fax | 877-360-8346
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Provider Business Mailing Address
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Address Line | 1524 W. LACEY BLVD. SUITE 201
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City | HANFORD
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State | CA
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Zip | 93230
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Country | US
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Telephone | 877-360-8346
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Fax | 877-360-8346
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. LIEZL 'LIZ' BARDILAS-LATIF
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Credential | P.T.
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Telephone | 559-239-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 20A9229
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20A9229
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License Number State | CA
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