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General NPI Number Information
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NPI Number | 1659788941
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Entity Type | Individual
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Provider Name | MUHAMMAD FAHAIR IQBAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 80 PINNACLES DR STE 700
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City | PALM COAST
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State | FL
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Zip | 32164-2915
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Country | US
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Telephone | 386-387-8500
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Fax | 386-387-8511
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Provider Business Mailing Address
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Address Line | 7015 A C SKINNER PKWY STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6932
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Country | US
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Telephone | 904-363-2113
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Fax | 904-363-2606
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-48323
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.156403
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018-00483
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME154206
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License Number State | FL
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