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General NPI Number Information
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NPI Number | 1376863811
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Entity Type | Individual
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Provider Name | BIJAN NIK MORADI MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2010
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE RD
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City | NAPLES
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State | FL
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Zip | 34119-3900
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Country | US
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Telephone | 239-348-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 7935 AIRPORT RD N STE 208
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City | NAPLES
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State | FL
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Zip | 34109-1747
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Country | US
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Telephone | 239-445-4362
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Fax | 813-830-7222
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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 | ME115982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME115982
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License Number State | FL
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