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General NPI Number Information
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NPI Number | 1770844888
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Entity Type | Individual
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Provider Name | MOHAMMED ASIF M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 5995 SPRING CREEK RD
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City | ROCKFORD
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State | IL
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Zip | 61114-6481
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Country | US
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Telephone | 815-977-4403
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Fax | 815-977-5796
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Provider Business Mailing Address
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Address Line | 5995 SPRING CREEK RD
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City | ROCKFORD
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State | IL
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Zip | 61114-6481
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Country | US
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Telephone | 815-977-4403
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Fax | 815-977-5796
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D84088
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MT201398
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036153451
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 036153451
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License Number State | IL
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