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General NPI Number Information
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NPI Number | 1083200349
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Entity Type | Organization
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Legal Business Name | NABILA ELZIND MD PC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 4411 W GORE BLVD STE B4
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City | LAWTON
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State | OK
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Zip | 73505-5977
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Country | US
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Telephone | 580-351-2400
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Fax | 580-351-2414
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Provider Business Mailing Address
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Address Line | 4411 W GORE BLVD STE B4
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City | LAWTON
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State | OK
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Zip | 73505-5977
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Country | US
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Telephone | 580-351-2400
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Fax | 580-351-2414
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. NAGWA MINAISY
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Credential |
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Telephone | 408-506-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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