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General NPI Number Information
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NPI Number | 1477507713
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Entity Type | Individual
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Provider Name | AMIR Z ANSARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1190 FILBERT HWY STE 110
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City | YORK
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State | SC
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Zip | 29745-9324
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Country | US
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Telephone | 803-628-0004
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Fax | 803-628-6004
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Provider Business Mailing Address
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Address Line | 2910 EAST FRANKLIN BLVD #1
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City | GASTONIA
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State | NC
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Zip | 28056-7225
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Country | US
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Telephone | 704-648-0460
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Fax | 855-446-7146
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.24399
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006-00448
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.24399
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 23848
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License Number State | SC
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