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General NPI Number Information
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NPI Number | 1770078644
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Entity Type | Individual
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Provider Name | SYED BILAL PASHA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2018
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 12502 WILLOWBROOK RD STE 640
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City | CUMBERLAND
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State | MD
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Zip | 21502-6579
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Country | US
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Telephone | 573-882-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 12502 WILLOWBROOK RD STE 640
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City | CUMBERLAND
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State | MD
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Zip | 21502-6579
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Country | US
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Telephone | 240-964-8717
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Fax | 240-964-8720
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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 | 2018019258
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2021017563
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0098568
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License Number State | MD
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