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General NPI Number Information
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NPI Number | 1437307170
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Entity Type | Organization
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Legal Business Name | COLLIER COUNTY MEDICAL, INC.
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 870 111TH AVE N SUITE 2
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City | NAPLES
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State | FL
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Zip | 34108-1869
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Country | US
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Telephone | 239-566-1332
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Fax | 239-566-1332
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Provider Business Mailing Address
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Address Line | 870 111TH AVE N SUITE 2
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City | NAPLES
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State | FL
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Zip | 34108-1869
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Country | US
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Telephone | 239-566-1332
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Fax | 239-566-1332
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHSIN ZAFAR
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Credential | M.D.
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Telephone | 239-566-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME 102512
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License Number State | FL
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