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General NPI Number Information
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NPI Number | 1710556121
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Entity Type | Individual
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Provider Name | NISREEN ALMUSAILIM MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 339 RAILROAD AVE UNIT 334
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3995
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Country | US
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Telephone | 803-522-6675
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Fax |
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Provider Business Mailing Address
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Address Line | 525 8TH ST UNIT 1994
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City | AUGUSTA
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State | GA
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Zip | 30903-7794
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 1188
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License Number State | GA
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