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General NPI Number Information
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NPI Number | 1780777664
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Entity Type | Organization
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Legal Business Name | HAKIM NYAZEE LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 11155 DUNN RD STE 212E
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6166
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Country | US
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Telephone | 314-837-4200
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Fax | 314-972-0402
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Provider Business Mailing Address
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Address Line | 6 JUNGERMANN CIR STE 215
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City | SAINT PETERS
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State | MO
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Zip | 63376-1626
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Country | US
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Telephone | 636-928-1231
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Fax | 636-922-2332
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEATHER WELCH
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Credential |
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Telephone | 636-928-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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