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General NPI Number Information
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NPI Number | 1710429089
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Entity Type | Individual
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Provider Name | TASNIM NOOR O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 2471 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6853
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Country | US
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Telephone | 954-943-3606
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Fax |
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Provider Business Mailing Address
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Address Line | 8021 PETERS RD
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City | PLANTATION
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State | FL
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Zip | 33324-4053
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Country | US
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Telephone | 954-224-8642
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046.011073
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 008743
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00678900
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | FL5986
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License Number State | FL
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