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General NPI Number Information
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NPI Number | 1841309192
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Entity Type | Individual
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Provider Name | SAIMA J ANSARI M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 27 NAEK RD STE 2
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City | VERNON
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State | CT
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Zip | 06066-3965
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Country | US
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Telephone | 860-875-2444
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Fax | 860-872-2936
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Provider Business Mailing Address
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Address Line | 79 WAWECUS ST SUITE 102
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City | NORWICH
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State | CT
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Zip | 06360-2160
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Country | US
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Telephone | 860-204-9735
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Fax | 860-204-9793
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 046328
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 046328
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License Number State | CT
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