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General NPI Number Information
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NPI Number | 1548455603
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Entity Type | Organization
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Legal Business Name | OBGYN OF SIDNEY PC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 44 PEARL ST W
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City | SIDNEY
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State | NY
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Zip | 13838-1325
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Country | US
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Telephone | 607-563-9490
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Fax |
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Provider Business Mailing Address
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Address Line | 44 PEARL ST W
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City | SIDNEY
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State | NY
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Zip | 13838-1325
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Country | US
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Telephone | 607-563-9490
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KHALID PARWEZ
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Credential | MD
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Telephone | 607-564-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 128379
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License Number State | NY
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