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General NPI Number Information
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NPI Number | 1144517327
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Entity Type | Individual
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Provider Name | NUDRAT USMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1300 W 7TH ST
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City | SAN PEDRO
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State | CA
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Zip | 90732-3505
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Country | US
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Telephone | 310-462-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 CADDINGTON DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-2012
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Country | US
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Telephone | 310-462-5922
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A117296
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License Number State | CA
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