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General NPI Number Information
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NPI Number | 1295268258
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Entity Type | Individual
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Provider Name | OMEED SIZAR
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Gender | Male
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 8808 CENTRE PARK DR STE 301
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City | COLUMBIA
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State | MD
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Zip | 21045-2224
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Country | US
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Telephone | 410-861-2093
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Fax |
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Provider Business Mailing Address
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Address Line | 8808 CENTRE PARK DR STE 301
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City | COLUMBIA
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State | MD
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Zip | 21045-2224
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Country | US
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Telephone | 410-861-2093
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A-2336-20
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 283140
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101026558
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0096517
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License Number State | MD
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