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General NPI Number Information
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NPI Number | 1770591455
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Entity Type | Individual
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Provider Name | MOHAMMAD ANISUR RAHMAN M.D
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6330 SARATOGA BLVD STE B
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3482
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Country | US
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Telephone | 361-288-2388
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Fax | 361-288-2389
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Provider Business Mailing Address
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Address Line | PO BOX 18045
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City | CORPUS CHRISTI
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State | TX
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Zip | 78480-8045
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Country | US
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Telephone | 361-288-2388
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Fax | 361-288-2389
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 213014
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 86643
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA06837700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME132633
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License Number State | FL
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