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General NPI Number Information
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NPI Number | 1518227537
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Entity Type | Individual
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Provider Name | MOHAMMED FAISAL RAHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 929 N US HWY 441 STE 503
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City | LADY LAKE
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State | FL
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Zip | 32159-3003
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Country | US
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Telephone | 352-235-9353
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Fax |
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Provider Business Mailing Address
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Address Line | 720 N US HWY 441 # 1044
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City | LADY LAKE
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State | FL
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Zip | 32159-3194
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Country | US
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Telephone | 352-235-9353
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Fax | 480-867-7339
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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 | ME143466
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q4830
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | Q4830
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME143466
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License Number State | FL
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