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General NPI Number Information
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NPI Number | 1770136756
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Entity Type | Individual
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Provider Name | SYEDA AFZAL
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1541 KINGS HIGHWAY PEDIATRICS
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City | SHREVEPORT
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State | LA
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Zip | 71130-3932
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Country | US
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Telephone | 318-626-2274
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Fax |
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Provider Business Mailing Address
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Address Line | 1541 KINGS HIGHWAY PEDIATRICS
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City | SHREVEPORT
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State | LA
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Zip | 71130-3932
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Country | US
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Telephone | 318-626-2274
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 345997
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 345997
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License Number State | LA
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