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General NPI Number Information
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NPI Number | 1699004044
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Entity Type | Organization
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Legal Business Name | SHEIKH GUSTAVESON & NASSAR INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 1111 W 4TH ST BLD B
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City | MADERA
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State | CA
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Zip | 93637-4474
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Country | US
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Telephone | 559-662-2700
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Fax | 559-673-1588
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Provider Business Mailing Address
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Address Line | 1111 W 4TH ST BLD B
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City | MADERA
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State | CA
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Zip | 93637-4474
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Country | US
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Telephone | 559-662-2700
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Fax | 559-673-1588
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZAFAR I SHEIKH
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Credential | MD
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Telephone | 559-662-2700
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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 |
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License Number State |
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