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General NPI Number Information
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NPI Number | 1447454541
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Entity Type | Individual
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Provider Name | ASIF SARFRAZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 10502 N 110TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-6655
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Country | US
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Telephone | 918-376-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4737 S HUDSON PL
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City | TULSA
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State | OK
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Zip | 74135-6923
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 28136
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License Number State | OK
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