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General NPI Number Information
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NPI Number | 1487060323
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Entity Type | Organization
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Legal Business Name | AFZAL CHOUDHRY, MD, P.A
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 26218 US HIGHWAY 27 SUITE 105
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City | LEESBURG
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State | FL
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Zip | 34748-1707
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Country | US
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Telephone | 352-323-1758
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Fax | 352-323-1894
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Provider Business Mailing Address
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Address Line | 26218 US HIGHWAY 27 SUITE 105
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City | LEESBURG
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State | FL
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Zip | 34748-1707
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Country | US
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Telephone | 352-323-1758
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Fax | 352-323-1894
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Authorized Official
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Title or Position | BILLING MGR
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Name | DONNA J BLAKEMORE
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Credential |
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Telephone | 352-323-1758
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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 | ME86954
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License Number State | FL
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