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General NPI Number Information
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NPI Number | 1467904698
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Entity Type | Individual
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Provider Name | SARAH AHMAD PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 622 W 168TH ST VC-2-260
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-2995
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 YORK AVE APT 16C
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City | NEW YORK
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State | NY
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Zip | 10065-8790
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Country | US
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Telephone | 425-327-8293
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 020104
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License Number State | NY
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