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General NPI Number Information
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NPI Number | 1578712592
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Entity Type | Individual
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Provider Name | JAVED AKHTAR MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 32060 LONG NECK RD
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City | MILLSBORO
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State | DE
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Zip | 19966-6228
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Country | US
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Telephone | 302-645-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 424 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1462
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5751
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C5-0001005
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0005895
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | DE
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