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General NPI Number Information
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NPI Number | 1285652016
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Entity Type | Individual
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Provider Name | NOURI NASS MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 21110 BISCAYNE BLVD STE 301
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City | AVENTURA
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State | FL
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Zip | 33180-1229
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Country | US
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Telephone | 305-935-4959
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Fax | 305-935-4960
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Provider Business Mailing Address
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Address Line | PO BOX 246
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City | HALLANDALE
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State | FL
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Zip | 33008-0246
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Country | US
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Telephone | 305-695-9606
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Fax | 305-935-5568
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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 | ME75899
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME75899
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME75899
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License Number State | FL
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