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General NPI Number Information
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NPI Number | 1881735496
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Entity Type | Organization
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Legal Business Name | VASCULAR-INTERVENTIONAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 6337 TRANSIT ROAD
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City | LANCASTER
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State | NY
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Zip | 14043
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Country | US
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Telephone | 716-852-1977
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Fax | 716-852-1959
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Provider Business Mailing Address
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Address Line | 6337 TRANSIT RD
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City | DEPEW
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State | NY
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Zip | 14043-1030
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Country | US
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Telephone | 716-852-1977
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Fax | 716-852-1959
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AZHER IQBAL
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Credential | M.D.
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Telephone | 716-852-1977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State | NY
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