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General NPI Number Information
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NPI Number | 1013213875
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Entity Type | Individual
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Provider Name | NADEEM IKRAM MEDICAL EQUIPMENT SU
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Gender | Male
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 6303 LITTLE RIVER TPKE SUITE NUMBER 335
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City | ALEXANDRIA
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State | VA
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Zip | 22312-5000
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Country | US
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Telephone | 703-825-8989
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Fax | 703-879-4618
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Provider Business Mailing Address
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Address Line | 6910 ELON DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-3730
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Country | US
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Telephone | 703-825-8989
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Fax | 703-879-4618
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 9000
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License Number State | VA
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