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General NPI Number Information
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NPI Number | 1962565705
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Entity Type | Organization
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Legal Business Name | IFTIKHAR A SYED FACS GENERAL SURGERY PC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 1201 NOTT ST SUITE 104
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City | SCHENECTADY
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State | NY
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Zip | 12308-2589
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Country | US
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Telephone | 518-370-1814
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Fax | 518-370-1830
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Provider Business Mailing Address
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Address Line | 1201 NOTT STREET SUITE 104
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City | SCHENECTADY
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State | NY
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Zip | 12308-2589
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Country | US
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Telephone | 518-370-1814
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Fax | 518-370-1830
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Authorized Official
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Title or Position | PRESIDENT
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Name | IFTIKHAR A SYED
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Credential | MD
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Telephone | 518-370-1814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1428081
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License Number State | NY
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