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General NPI Number Information
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NPI Number | 1841600764
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Entity Type | Organization
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Legal Business Name | SAIF SIDDIQI MD INC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 28 CANYON TER
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City | IRVINE
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State | CA
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Zip | 92603-0227
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Country | US
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Telephone | 714-425-5937
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Fax |
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Provider Business Mailing Address
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Address Line | 28 CANYON TER
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City | IRVINE
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State | CA
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Zip | 92603-0227
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Country | US
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Telephone | 714-425-5937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAIF SIDDIQI
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Credential | MD
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Telephone | 714-425-5937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A78843
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License Number State | CA
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