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General NPI Number Information
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NPI Number | 1578210258
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Entity Type | Organization
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Legal Business Name | TESTING IN MOTION LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 1023 N LIBERTY ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-5767
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Country | US
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Telephone | 305-988-5262
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N HOGAN ST
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City | JACKSONVILLE
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State | FL
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Zip | 32202-4201
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Country | US
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Telephone | 305-988-5262
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARYAM PASHA
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Credential | MD
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Telephone | 310-710-4272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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