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General NPI Number Information
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NPI Number | 1669673398
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Entity Type | Individual
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Provider Name | SHEHRYAR ANJUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 77 NELSON ST SUITE 240
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City | AUBURN
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State | NY
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Zip | 13021-1944
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Country | US
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Telephone | 315-567-0390
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Fax | 315-702-8393
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Provider Business Mailing Address
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Address Line | 17 LANSING ST
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City | AUBURN
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State | NY
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Zip | 13021-1983
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Country | US
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Telephone | 315-255-7576
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Fax | 315-702-8393
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28253
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License Number State | AL
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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 | MD447427
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 319016
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 319016
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License Number State | NY
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