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General NPI Number Information
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NPI Number | 1750501623
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Entity Type | Individual
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Provider Name | ASIF SAEED KAZMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 1120 STATE HIGHWAY 77 STE 1
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City | MARION
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State | AR
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Zip | 72364-9046
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Country | US
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Telephone | 870-733-1177
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Fax | 870-702-6128
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Provider Business Mailing Address
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Address Line | 1120 STATE HIGHWAY 77 SUITE NO. 1, 2ND FLOOR
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City | MARION
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State | AR
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Zip | 72364-9027
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Country | US
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Telephone | 870-733-1177
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 43447
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | E-5513
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License Number State | AR
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