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General NPI Number Information
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NPI Number | 1831489509
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Entity Type | Organization
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Legal Business Name | SARWAT A IQBAL MD PC
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 02/21/2016
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Provider Practice Location Address
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Address Line | 4104 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2614
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Country | US
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Telephone | 215-223-0200
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Fax | 267-319-1769
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Provider Business Mailing Address
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Address Line | 4104 N 5TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-2614
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Country | US
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Telephone | 215-223-0200
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Fax | 267-319-1769
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARWAT AZMA IQBAL
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Credential | MD
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Telephone | 610-520-9440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD039666L
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License Number State | PA
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