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General NPI Number Information
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NPI Number | 1346558871
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Entity Type | Organization
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Legal Business Name | ABDUL NADEEM MD LLC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 1625 S OSPREY AVE
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City | SARASOTA
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State | FL
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Zip | 34239-2929
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Country | US
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Telephone | 941-917-1463
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Fax | 941-917-7543
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Provider Business Mailing Address
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Address Line | 7015 GOSLING TER
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City | BRADENTON
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State | FL
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Zip | 34203-8027
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Country | US
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Telephone | 941-538-7013
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | ABDUL NADEEM
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Credential | MD
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Telephone | 941-917-1463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME79513
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License Number State | FL
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