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General NPI Number Information
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NPI Number | 1912285974
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Entity Type | Individual
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Provider Name | NASSER MOHAMED M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 2215 POST ST STE 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 415-954-2220
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Fax | 415-291-0489
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Provider Business Mailing Address
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Address Line | 2215 POST ST STE 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3427
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Country | US
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Telephone | 415-954-2220
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Fax | 415-291-0489
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 134356
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License Number State | CA
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