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General NPI Number Information
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NPI Number | 1598943946
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Entity Type | Organization
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Legal Business Name | UZMA NASIM MD INC
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 18102 IRVINE BLVD # 206
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City | TUSTIN
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State | CA
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Zip | 92780-3402
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Country | US
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Telephone | 714-730-2511
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Fax | 714-730-2711
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Provider Business Mailing Address
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Address Line | 18102 IRVINE BLVD # 206
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City | TUSTIN
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State | CA
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Zip | 92780-3402
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Country | US
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Telephone | 714-730-2511
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Fax | 714-730-2711
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Authorized Official
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Title or Position | MANAGER
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Name | DR. UZMA NASIM
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Credential | MD
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Telephone | 714-730-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A54975
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License Number State | CA
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