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General NPI Number Information
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NPI Number | 1609043579
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Entity Type | Individual
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Provider Name | BADAR MUNEER M.D
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Gender | Male
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 320 RACETRACK RD NW STE 100B
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone | 850-357-8151
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Fax | 850-362-6060
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Provider Business Mailing Address
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Address Line | 320 RACETRACK RD NW STE 100B
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone | 850-357-8151
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Fax | 239-343-4159
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME101980
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License Number State | FL
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