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NPI 1578056727

NPI 1578056727 : FARHAD AHMED SAMI M.B.B.S : ERIE, PA

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General NPI Number Information
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    NPI Number           |    1578056727
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    Entity Type          |    Individual 
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    Provider Name        |    FARHAD AHMED SAMI M.B.B.S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2018
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    Last Update Date     |    10/26/2025
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Provider Practice Location Address
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    Address Line         |    120 E 2ND ST FL 2 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16507-1579
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    Country              |    US
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    Telephone            |    814-456-8980
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    Fax                  |    814-451-0443
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Provider Business Mailing Address
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    Address Line         |    120 E 2ND ST FL 2 
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    City                 |    ERIE
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    State                |    PA
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    Zip                  |    16507-1579
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    Country              |    US
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    Telephone            |    814-456-8980
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    Fax                  |    814-451-0443
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    MD489899
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD489899
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    License Number State |    PA
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