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General NPI Number Information
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NPI Number | 1750338786
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Entity Type | Individual
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Provider Name | NADIA AMEENA KAZIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 7331 COLLEGE PKWY STE 200
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City | FORT MYERS
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State | FL
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Zip | 33907-5524
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Country | US
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Telephone | 239-947-4042
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Fax | 239-390-9976
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Provider Business Mailing Address
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Address Line | 3501 HEALTH CENTER BLVD SUITE 2170
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-8127
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Country | US
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Telephone | 239-494-4900
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Fax | 239-494-8444
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME101870
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License Number State | FL
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