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General NPI Number Information
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NPI Number | 1104851609
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Entity Type | Individual
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Provider Name | NICOLAS NASSAR MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1881 COMMERCENTER E STE 118
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3442
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Country | US
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Telephone | 909-886-1600
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Fax | 909-886-7788
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Provider Business Mailing Address
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Address Line | 20408 UMBRIA WAY
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City | YORBA LINDA
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State | CA
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Zip | 92886-8643
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Country | US
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Telephone | 909-886-1600
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Fax | 909-866-7788
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A76218
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License Number State | CA
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