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General NPI Number Information
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NPI Number | 1487498903
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Entity Type | Individual
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Provider Name | MOHAMMAD NOUMAN MANZOOR DO
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Gender | Male
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 11200 SW 8TH ST # 4-259
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City | MIAMI
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State | FL
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Zip | 33199-1624
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Country | US
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Telephone | 305-348-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 14161 SW 54TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-5993
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Country | US
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Telephone | 305-606-4374
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | UO10087
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License Number State | FL
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