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General NPI Number Information
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NPI Number | 1407300437
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Entity Type | Organization
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Legal Business Name | REHAN NAQUI MD PA
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 305-651-3033
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Fax | 305-655-1153
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Provider Business Mailing Address
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Address Line | 12618 S WINNERS CIR
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City | DAVIE
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State | FL
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Zip | 33330-4332
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Country | US
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Telephone | 305-651-3033
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Fax | 305-655-1153
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Authorized Official
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Title or Position | OWNER
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Name | REHAN NAQUI
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Credential | MD
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Telephone | 305-651-3033
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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 | ME85848
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License Number State | FL
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