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General NPI Number Information
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NPI Number | 1114919503
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Entity Type | Individual
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Provider Name | MOHAMMAD JAHANZEB MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 2155 W MAYA PALM DR
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City | BOCA RATON
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State | FL
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Zip | 33432-7972
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Country | US
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Telephone | 910-483-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 W MAYA PALM DR
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City | BOCA RATON
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State | FL
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Zip | 33432-7972
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Country | US
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Telephone | 910-483-0486
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 36771
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 17856
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | E3595
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | ME68929
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License Number State | FL
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