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General NPI Number Information
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NPI Number | 1679557599
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Entity Type | Individual
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Provider Name | ZAHIDA PARVEEN KAUKAB MD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 441 VINE ST #1038
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City | CINCINNATI
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State | OH
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Zip | 45202-2806
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Country | US
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Telephone | 513-621-3360
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Fax | 513-621-6237
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Provider Business Mailing Address
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Address Line | 441 VINE ST #1038
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City | CINCINNATI
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State | OH
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Zip | 45202-2806
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Country | US
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Telephone | 513-621-3360
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Fax | 513-621-6237
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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 | 35041903
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License Number State | OH
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