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General NPI Number Information
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NPI Number | 1699741736
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Entity Type | Individual
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Provider Name | BASHIR ZIKRIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 10753 FALLS RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4535
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Country | US
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Telephone | 410-583-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVENUE
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City | BALTIMORE
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State | MD
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Zip | 21264-4664
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Country | US
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Telephone | 410-933-6423
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | ME0093661
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | D64807
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License Number State | MD
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