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General NPI Number Information
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NPI Number | 1467436170
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Entity Type | Individual
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Provider Name | SHARIQ A AFRIDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 1374 WHITEHORSE HAMILTON SQUARE RD
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City | HAMILTON SQ
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State | NJ
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Zip | 08690-3701
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Country | US
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Telephone | 609-586-1319
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Fax | 609-586-1468
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Provider Business Mailing Address
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Address Line | 1374 WHITEHORSE HAMILTON SQUARE RD
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City | HAMILTON SQ
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State | NJ
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Zip | 08690-3701
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Country | US
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Telephone | 609-586-1319
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Fax | 609-586-1468
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA06201100
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License Number State | NJ
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