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General NPI Number Information
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NPI Number | 1275952863
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Entity Type | Individual
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Provider Name | ADAM NASSERY MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 21097 NE 27TH COURT SUITE 320
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-974-5533
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Fax | 305-974-5553
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Provider Business Mailing Address
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Address Line | PO BOX 223190
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City | HOLLYWOOD
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State | FL
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Zip | 33022-3190
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Country | US
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Telephone | 305-974-5533
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Fax | 305-974-5553
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME140811
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License Number State | FL
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