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General NPI Number Information
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NPI Number | 1811924210
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Entity Type | Individual
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Provider Name | NAEEM HAIDER MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 3599 UNIVERSITY BLVD SO SUITE 805
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-396-1380
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Fax | 904-396-3878
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Provider Business Mailing Address
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Address Line | 4131 UNIVERSITY BLVD S STE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4346
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Country | US
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Telephone | 904-737-2722
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Fax | 904-737-2723
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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 | ME0087986
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License Number State | FL
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