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General NPI Number Information
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NPI Number | 1497219281
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Entity Type | Individual
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Provider Name | ADNAN S ARSHAD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 49 SURREY CIR
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City | SHIRLEY
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State | NY
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Zip | 11967-2528
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Country | US
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Telephone | 631-772-6075
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Fax | 631-772-6713
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Provider Business Mailing Address
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Address Line | 19 S EDISON EXT
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City | MONTAUK
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State | NY
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Zip | 11954-5330
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Country | US
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Telephone | 631-668-1040
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Fax | 631-772-6713
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number | 05363391
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License Number State | NY
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