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NPI 1407652118

NPI 1407652118 : NAZISH SYED : FREDERICK, MD

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General NPI Number Information
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    NPI Number           |    1407652118
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    Entity Type          |    Individual 
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    Provider Name        |    NAZISH SYED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/22/2025
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    1562 OPOSSUMTOWN PIKE 
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21702-4920
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    Country              |    US
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    Telephone            |    240-215-6310
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    Fax                  |    240-566-7754
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Provider Business Mailing Address
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    Address Line         |    1 FREDERICK HEALTH WAY 
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    City                 |    FREDERICK
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    State                |    MD
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    Zip                  |    21701-9435
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    Country              |    US
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    Telephone            |    240-215-6310
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    Fax                  |    240-566-7754
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    C0009811
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    License Number State |    MD
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