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General NPI Number Information
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NPI Number | 1740975804
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Entity Type | Individual
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Provider Name | JAMAL NAWAZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33190-1003
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Country | US
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Telephone | 305-254-4847
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 W 76TH ST STE 408
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City | HIALEAH
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State | FL
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Zip | 33016-5504
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Country | US
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Telephone | 786-542-5056
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME177775
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | ME177775
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License Number State | FL
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