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General NPI Number Information
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NPI Number | 1831117332
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Entity Type | Individual
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Provider Name | MAZHAR U SHEIKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 14904 JEFFERSON DAVIS HWY #306
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3908
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Country | US
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Telephone | 703-491-9506
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Fax | 703-497-7653
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Provider Business Mailing Address
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Address Line | 6284 DUNAWAY CT
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City | MCLEAN
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State | VA
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Zip | 22101-2204
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Country | US
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Telephone | 703-821-5467
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101033798
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License Number State | VA
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