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General NPI Number Information
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NPI Number | 1659646917
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Entity Type | Individual
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Provider Name | SHAHERYAR FARUQ ANSARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 11750 W 2ND PL STE 255
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City | LAKEWOOD
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State | CO
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Zip | 80228-1726
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Country | US
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Telephone | 303-643-4117
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Fax | 720-321-8041
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Provider Business Mailing Address
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Address Line | PO BOX 800022
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City | KANSAS CITY
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State | MO
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Zip | 64180-0022
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Country | US
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Telephone | 800-953-0104
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Fax | 303-765-6670
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 151835
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 01081524A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | CDR.0004616
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License Number State | CO
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