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General NPI Number Information
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NPI Number | 1346188307
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Entity Type | Individual
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Provider Name | NOAH LEE AHMAD NAWABI
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Gender | Male
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 2910 N 3RD AVE
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City | PHOENIX
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State | AZ
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Zip | 85013-4434
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Country | US
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Telephone | 844-324-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 979 SEA GULL DR
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-4111
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Country | US
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Telephone | 864-978-0961
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AZ
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