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General NPI Number Information
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NPI Number | 1548441876
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Entity Type | Individual
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Provider Name | MOHAMMAD NAWAZ NASAR M.D
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Gender | Male
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/30/2015
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Provider Practice Location Address
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Address Line | 5870 HIATUS RD SUITE 200
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City | TAMARAC
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State | FL
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Zip | 33321-6424
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Country | US
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Telephone | 561-588-4844
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Fax | 877-519-4595
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Provider Business Mailing Address
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Address Line | 8131 WOODSMUIR DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-1646
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Country | US
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Telephone | 561-588-4844
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Fax | 877-519-4595
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME100359
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License Number State | FL
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