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General NPI Number Information
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NPI Number | 1497157705
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Entity Type | Organization
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Legal Business Name | AZAN MEDICAL, PA
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 4014 SAWYER RD
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City | SARASOTA
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State | FL
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Zip | 34233-1272
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Country | US
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Telephone | 841-584-8185
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110724
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City | LAKEWOOD RCH
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State | FL
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Zip | 34211-0010
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Country | US
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Telephone | 841-584-8185
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | SOHAIL SHARIFF
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Credential | MD
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Telephone | 941-584-8185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME99337
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License Number State | FL
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