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General NPI Number Information
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NPI Number | 1437265972
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Entity Type | Individual
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Provider Name | JAVED MOHIUDDIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | GULF COAST VETERANS HEALTH CARE SYSTEM 400 VETERANS AVENUE
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City | BILOXI
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State | MS
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Zip | 39531-2410
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Country | US
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Telephone | 228-523-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3502 FARRINGTON CT
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3450
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Country | US
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Telephone | 228-547-9469
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Fax | 228-868-4986
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 15945
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License Number State | MS
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