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General NPI Number Information
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NPI Number | 1578617437
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Entity Type | Individual
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Provider Name | NAHEED SUFI M.D
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 715 S TAFT AVE
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City | FREMONT
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State | OH
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Zip | 43420-3200
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Country | US
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Telephone | 419-334-6657
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Fax | 419-334-6637
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Provider Business Mailing Address
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Address Line | 960 W WOOSTER ST STE 201
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2650
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Country | US
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Telephone | 419-536-7966
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35069098
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License Number State | OH
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