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General NPI Number Information
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NPI Number | 1124698048
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Entity Type | Organization
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Legal Business Name | MOHAMMAD K ANWAR MD, LLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 4113 WILLIAMS BLVD
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City | KENNER
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State | LA
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Zip | 70065
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Country | US
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Telephone | 316-461-7843
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Fax | 504-754-7713
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Provider Business Mailing Address
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Address Line | 212 LEGRANDE BAYOU LANE
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City | KENNER
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State | LA
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Zip | 70065
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Country | US
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Telephone | 316-461-7843
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Fax | 504-754-7713
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD ANWAR
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Credential | MD
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Telephone | 316-461-7843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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