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General NPI Number Information
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NPI Number | 1528079779
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Entity Type | Organization
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Legal Business Name | FAROOQ AKBAR
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 1654 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3439
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Country | US
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Telephone | 478-329-0100
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Fax | 478-329-0085
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Provider Business Mailing Address
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Address Line | 1654 WATSON BLVD
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3439
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Country | US
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Telephone | 478-329-0100
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Fax | 478-329-0085
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Authorized Official
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Title or Position | OWNER
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Name | FAROOQ AKBAR
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Credential | MD
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Telephone | 478-329-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 036492
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License Number State | GA
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