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General NPI Number Information
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NPI Number | 1699196840
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Entity Type | Organization
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Legal Business Name | MUDASSIR NAWAZ MDPC
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 500 E ROBINSON ST SUITE 800
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City | NORMAN
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State | OK
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Zip | 73071-6697
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Country | US
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Telephone | 405-321-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E ROBINSON ST SUITE 800
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City | NORMAN
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State | OK
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Zip | 73071-6697
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Country | US
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Telephone | 405-321-1004
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUDASSIR NAWAZ
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Credential | MD
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Telephone | 405-321-1004
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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 | 24893
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License Number State | OK
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