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General NPI Number Information
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NPI Number | 1922422732
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Entity Type | Individual
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Provider Name | NOUSHIN SUMMIT AHMED O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 33 MAGOTHY BEACH RD STE 104
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City | PASADENA
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State | MD
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Zip | 21122-4467
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Country | US
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Telephone | 410-437-6000
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Fax | 410-437-6001
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Provider Business Mailing Address
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Address Line | 2023 PULASKI HWY
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City | HAVRE DE GRACE
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State | MD
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Zip | 21078-2137
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Country | US
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Telephone |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2374
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License Number State | MD
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