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General NPI Number Information
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NPI Number | 1407934912
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Entity Type | Individual
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Provider Name | MOHAMMAD JAWED LATIF JANGDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2225 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3611
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Country | US
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Telephone | 954-730-3340
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Fax | 954-730-8879
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Provider Business Mailing Address
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Address Line | 8050 N UNIVERSITY DR STE 201
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City | TAMARAC
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State | FL
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Zip | 33321-2102
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Country | US
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Telephone | 854-532-2920
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Fax | 866-843-0820
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME78898
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | ME78898
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME78898
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License Number State | FL
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