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General NPI Number Information
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NPI Number | 1609862457
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Entity Type | Individual
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Provider Name | UZMA IQBAL MD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 2365 S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-442-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HIGHWAY SOUTH PROVIDER ENROLLMENT
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1304
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 233853
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License Number State | NY
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