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General NPI Number Information
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NPI Number | 1962416289
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Entity Type | Individual
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Provider Name | SAIRA ZAFAR AHSAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4374 NEW TOWN AVE STE 202
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2865
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Country | US
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Telephone | 579-846-0407
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Fax | 757-510-9063
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Provider Business Mailing Address
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Address Line | 4374 NEW TOWN AVE STE 202
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2865
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Country | US
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Telephone | 579-846-0407
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Fax | 757-510-9063
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101051188
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License Number State | VA
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