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General NPI Number Information
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NPI Number | 1457503302
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Entity Type | Individual
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Provider Name | SAFIR AZAM MD
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Gender | Male
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 960 W. 41ST STREET SUITE 106
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City | MIAMI
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State | FL
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Zip | 33140-3346
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Country | US
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Telephone | 305-434-2148
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Fax | 786-292-0091
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Provider Business Mailing Address
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Address Line | 960 W. 41ST STREET SUITE 106
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City | MIAMI
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State | FL
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Zip | 33140-3346
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Country | US
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Telephone | 305-434-2148
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Fax | 786-292-0091
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME102409
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License Number State | FL
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