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General NPI Number Information
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NPI Number | 1871735134
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Entity Type | Individual
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Provider Name | MOHAMMAD JUNAID MM22626
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 2900 W SAMPLE RD ACAPULCO 3509/3511
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City | POMPANO BEACH
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State | FL
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Zip | 33073-3024
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Country | US
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Telephone | 954-984-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 BANKS RD APT. 103
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City | MARGATE
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State | FL
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Zip | 33063-6962
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Country | US
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Telephone | 954-657-8097
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MM22626
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License Number State | FL
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