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General NPI Number Information
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NPI Number | 1962148866
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Entity Type | Individual
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Provider Name | SYEDA WARDA HASHMI
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 1764 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10472-3022
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Country | US
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Telephone | 718-589-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 968 W CARLISLE PARK LN
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84119-7513
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 033185-01
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License Number State | NY
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