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General NPI Number Information
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NPI Number | 1851543110
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Entity Type | Individual
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Provider Name | MASOOD AHMAD M.D
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Gender | Male
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 2007 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4545
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Country | US
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Telephone | 850-872-0836
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Fax | 850-784-9154
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Provider Business Mailing Address
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Address Line | 2007 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4545
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Country | US
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Telephone | 850-872-0836
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Fax | 850-784-9154
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME103488
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License Number State | FL
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