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General NPI Number Information
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NPI Number | 1861672735
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Entity Type | Organization
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Legal Business Name | FARRUKH IQBAL MD, LTD.
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 100 N GREEN VALLEY PKWY STE 332
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City | HENDERSON
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State | NV
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Zip | 89074-7705
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Country | US
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Telephone | 702-450-5002
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N GREEN VALLEY PKWY STE 332
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City | HENDERSON
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State | NV
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Zip | 89074-7705
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Country | US
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Telephone | 702-450-5002
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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. FARRUKH IQBAL
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Credential | MD
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Telephone | 702-450-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 9181
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License Number State | NV
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