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General NPI Number Information
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NPI Number | 1558318550
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Entity Type | Individual
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Provider Name | DR. SYED AFZAL
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 39 CELANO LN
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City | W ISLIP
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State | NY
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Zip | 11795-5105
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Country | US
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Telephone | 631-453-1286
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Fax | 631-453-1286
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Provider Business Mailing Address
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Address Line | 1345 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-1301
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Country | US
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Telephone | 516-453-0435
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 197001
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License Number State | NY
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