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General NPI Number Information
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NPI Number | 1508250986
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Entity Type | Individual
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Provider Name | OMAR SADIQ MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 6707 POWERS BLVD MEDICAL ARTS CNTR 2 STE 309
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City | PARMA
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State | OH
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Zip | 44129-5455
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Country | US
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Telephone | 440-886-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 POWERS BLVD. SUITE 309 - MEDICAL ARTS CENTER II
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City | PARMA
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State | OH
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Zip | 44129-5466
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Country | US
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Telephone | 440-886-5558
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Fax | 440-886-4540
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 4301507267
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.145161
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License Number State | OH
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