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General NPI Number Information
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NPI Number | 1558421297
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Entity Type | Organization
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Legal Business Name | SOUTH SACRAMENTO NEUROLOGY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9381 EAST STOCKTON BLVD 124 AND 222
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City | ELK GROVE
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State | CA
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Zip | 95624
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Country | US
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Telephone | 916-681-2226
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Fax | 916-681-2241
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Provider Business Mailing Address
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Address Line | FIRDOS SHEIKH P O BOX 649
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City | WILTON
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State | CA
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Zip | 95693
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Country | US
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Telephone | 916-681-2226
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Fax | 916-681-2241
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FIRDOS SHEIKH
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Credential | M. D.
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Telephone | 916-837-0965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A50704
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License Number State | CA
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