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General NPI Number Information
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NPI Number | 1205380060
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Entity Type | Individual
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Provider Name | SAQUIB MOHAMMED FNP
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Gender | Male
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2680 E RIVERSIDE DR
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City | ONTARIO
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State | CA
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Zip | 91761-7307
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Country | US
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Telephone | 909-469-9013
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Fax | 909-469-9014
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Provider Business Mailing Address
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Address Line | 8875 SOOTHING CT
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City | CORONA
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State | CA
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Zip | 92883-5985
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Country | US
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Telephone | 818-938-6183
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Fax | 818-338-0482
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95034566
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP53016
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH82668
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP00008566
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License Number State | NM
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