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General NPI Number Information
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NPI Number | 1538851357
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Entity Type | Organization
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Legal Business Name | AFC HOLDINGS LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 179 TALCOTTVILLE RD
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City | VERNON
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State | CT
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Zip | 06066-4615
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Country | US
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Telephone | 860-986-7600
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Fax | 860-986-7601
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Provider Business Mailing Address
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Address Line | 179 TALCOTTVILLE RD
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City | VERNON
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State | CT
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Zip | 06066-4615
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Country | US
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Telephone | 860-986-7600
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Fax | 860-986-7601
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. IFTIKHAR ALI
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Credential | MD
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Telephone | 860-690-1062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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