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General NPI Number Information
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NPI Number | 1891850921
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Entity Type | Individual
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Provider Name | NAAZ FATTEH MD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 1625 SE 3RD AVE STE 623
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316
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Country | US
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Telephone | 954-712-6427
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Fax | 954-712-6475
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-712-6427
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Fax | 954-712-6475
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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 | 0101052723
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D56436
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD32455
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME65183
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License Number State | FL
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