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General NPI Number Information
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NPI Number | 1396064556
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Entity Type | Individual
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Provider Name | MR. ABDUL A NAWAZ
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Gender | Male
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 10101 SLATER AVE SUITE 123
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4714
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Country | US
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Telephone | 949-864-0738
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Fax | 949-271-4600
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Provider Business Mailing Address
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Address Line | 7892 NOMAD CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2363
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Country | US
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Telephone | 714-841-2274
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Fax | 949-271-4600
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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