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General NPI Number Information
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NPI Number | 1952984650
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Entity Type | Individual
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Provider Name | AWAIS MAQSOOD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 222 STATION PLAZA N SUITE 305
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City | MINEOLA
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State | NY
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Zip | 11501
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Country | US
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Telephone | 516-663-4798
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Fax |
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Provider Business Mailing Address
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Address Line | 222 STATION PLAZA N SUITE 305
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City | MINEOLA
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State | NY
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Zip | 11501
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Country | US
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Telephone |
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | N007408
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N007408
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License Number State | NY
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