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General NPI Number Information
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NPI Number | 1881707164
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Entity Type | Organization
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Legal Business Name | RIFFAT S MAHMUD MD PC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 73 E FORREST AVE STE 314
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City | SHREWSBURY
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State | PA
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Zip | 17361-1400
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Country | US
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Telephone | 717-235-1795
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Fax | 717-428-3417
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Provider Business Mailing Address
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Address Line | 73 E FORREST AVE STE 314
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City | SHREWSBURY
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State | PA
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Zip | 17361-1400
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Country | US
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Telephone | 717-235-1795
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Fax | 717-428-3417
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIFFAT S MAHMUD
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Credential | M.D.
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Telephone | 717-741-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD053502L
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License Number State | PA
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