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General NPI Number Information
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NPI Number | 1699279638
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Entity Type | Individual
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Provider Name | MOHAMED NASSER
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 17180 ROYAL PALM BLVD STE 1
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City | WESTON
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State | FL
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Zip | 33326-2394
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Country | US
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Telephone | 954-276-1474
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Fax | 954-385-6026
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Provider Business Mailing Address
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Address Line | 2900 CORPORATE WAY DOOR D
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City | MIRAMAR
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State | FL
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Zip | 33025-3925
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Country | US
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Telephone | 954-276-5685
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Fax | 954-985-7074
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | ME161885
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License Number State | FL
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