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General NPI Number Information
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NPI Number | 1457974172
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Entity Type | Individual
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Provider Name | SANA HASSAN WAQAR DO
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Gender | Female
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 739 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-5336
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Country | US
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Telephone | 718-456-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BACON RD
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1503
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Country | US
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Telephone | 516-626-0113
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 322433
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License Number State | NY
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