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NPI 1700520566

NPI 1700520566 : NABIH MASRI DPM : USAF ACADEMY, CO

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General NPI Number Information
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    NPI Number           |    1700520566
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    Entity Type          |    Individual 
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    Provider Name        |    NABIH MASRI DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2022
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    4102 PINION DR 
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    City                 |    USAF ACADEMY
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    State                |    CO
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    Zip                  |    80840-2502
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    Country              |    US
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    Telephone            |    719-524-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1120 TREK TRAIL HTS APT 301 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80921-4515
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    Country              |    US
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    Telephone            |    479-739-0025
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    POD.0000973
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    License Number State |    CO
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