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General NPI Number Information
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NPI Number | 1447812540
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Entity Type | Individual
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Provider Name | WAQAAR AHMED ARSHAD DO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 3226 KENDRICK RD APT 14
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City | CORINTH
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State | MS
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Zip | 38834-9207
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Country | US
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Telephone | 925-922-7170
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Fax |
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Provider Business Mailing Address
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Address Line | 3569 WAXWING WAY
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City | ANTIOCH
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State | CA
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Zip | 94509-6425
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Country | US
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Telephone | 925-922-7170
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T-3733
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License Number State | MS
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