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General NPI Number Information
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NPI Number | 1467512657
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Entity Type | Individual
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Provider Name | FARZANA NIZAMI M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8746 CHELSEA ST APT LC
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City | JAMAICA
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State | NY
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Zip | 11432-2400
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Country | US
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Telephone | 718-657-7900
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Fax | 718-657-7902
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Provider Business Mailing Address
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Address Line | 17810 WEXFORD TER APT 2C
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City | JAMAICA
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State | NY
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Zip | 11432-3003
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Country | US
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Telephone | 718-291-0178
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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 | 228233
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License Number State | NY
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