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General NPI Number Information
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NPI Number | 1700047396
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Entity Type | Individual
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Provider Name | NARGIZ RUZMETOVA
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Gender | Female
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 60 MEMORIAL MEDICAL PKWY
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City | PALM COAST
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State | FL
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Zip | 32164-5980
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Country | US
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Telephone | 386-586-4215
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Fax |
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Provider Business Mailing Address
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Address Line | 60 MEMORIAL MEDICAL PKWY
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City | PALM COAST
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State | FL
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Zip | 32164-5980
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Country | US
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Telephone |
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Fax |
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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 | ME112372
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License Number State | FL
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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 | MD61156924
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License Number State | WA
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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 | 63324
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License Number State | AZ
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