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General NPI Number Information
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NPI Number | 1750011698
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Entity Type | Individual
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Provider Name | ZAIN IFTIKHAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 900 E MAIN ST
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City | NORMAN
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State | OK
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Zip | 73071-5305
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Country | US
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Telephone | 405-321-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 ALAMEDA PARK DR
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City | NORMAN
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State | OK
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Zip | 73071-9704
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Country | US
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Telephone | 314-435-4490
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 41428
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021045674
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License Number State | MO
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