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General NPI Number Information
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NPI Number | 1609879170
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Entity Type | Individual
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Provider Name | ANWER ALAM SHAIKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2067 W VISTA WAY
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City | VISTA
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State | CA
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Zip | 92083-6031
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Country | US
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Telephone | 760-298-5787
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Fax | 760-560-2007
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Provider Business Mailing Address
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Address Line | 6323 N FRESNO ST STE 105
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City | FRESNO
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State | CA
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Zip | 93710-5282
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Country | US
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Telephone | 559-431-0995
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Fax | 559-431-0998
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A80989
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License Number State | CA
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