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General NPI Number Information
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NPI Number | 1063031714
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Entity Type | Organization
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Legal Business Name | NIZAR SULEMAN MD LLC
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 115 SUMMERTIME BAY
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City | HOT SPRINGS
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State | AR
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Zip | 71913-1839
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Country | US
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Telephone | 501-881-9444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20414
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City | HOT SPRINGS
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State | AR
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Zip | 71903-0414
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Country | US
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Telephone | 501-881-9444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIZAR SULEMAN
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Credential | MD
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Telephone | 501-881-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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