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General NPI Number Information
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NPI Number | 1750533147
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Entity Type | Organization
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Legal Business Name | SARA MEDICAL CARE PLLC
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 354 MAIN ST
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3317
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Country | US
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Telephone | 917-653-7428
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 663
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City | FISHKILL
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State | NY
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Zip | 12524-0663
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Country | US
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Telephone | 917-653-7428
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Fax |
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Authorized Official
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Title or Position | CHAIR PERSON
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Name | AMJAD IQBAL
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Credential | M.D.
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Telephone | 917-653-7428
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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 | 212062
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License Number State | NY
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