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General NPI Number Information
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NPI Number | 1023983103
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Entity Type | Organization
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Legal Business Name | SAIRA & MOZI INC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 5 PINWHEEL LN
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City | PALM COAST
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State | FL
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Zip | 32164-4806
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Country | US
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Telephone | 386-313-3055
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Fax | 386-264-6512
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Provider Business Mailing Address
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Address Line | 5 PINWHEEL LN
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City | PALM COAST
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State | FL
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Zip | 32164-4806
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Country | US
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Telephone | 386-313-3055
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Fax | 386-264-6512
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOAZZAM IMTIAZ
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Credential | ADMIN
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Telephone | 386-338-7364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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