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General NPI Number Information
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NPI Number | 1457886590
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Entity Type | Individual
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Provider Name | REHANA AHMED NASEER MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1312 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-1205
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Country | US
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Telephone | 248-707-0908
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Fax |
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Provider Business Mailing Address
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Address Line | 506 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10037-1802
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Country | US
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Telephone | 212-939-1641
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301503150
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License Number State | MI
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