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General NPI Number Information
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NPI Number | 1962663666
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Entity Type | Individual
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Provider Name | SEEMA FAIYAZ
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 3650 STEVE REYNOLDS BLVD
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City | DULUTH
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State | GA
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Zip | 30096-4506
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Country | US
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Telephone | 470-791-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 367 S GULPH RD ATT: IPM CREDENTIALING
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3121
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Country | US
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Telephone | 803-716-9428
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101254960
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 071337
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 38973
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 265349-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 71337
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License Number State | GA
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