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General NPI Number Information
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NPI Number | 1881628915
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Entity Type | Individual
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Provider Name | IFTIKHAR AHMED PA
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 710 FM 1960 RD W DEPARTMENT OF EMERGENCY MEDICINE
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City | HOUSTON
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State | TX
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Zip | 77090-3402
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Country | US
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Telephone | 281-440-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 10827 ASHLAND BRIDGE LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-5045
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Country | US
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Telephone | 281-620-1616
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 007650-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA03900
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License Number State | TX
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