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General NPI Number Information
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NPI Number | 1952587503
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Entity Type | Individual
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Provider Name | AMER BADREDEN NOUH M.D.,
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Gender | Male
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 1417 NW 150TH ST
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City | EDMOND
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State | OK
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Zip | 73013-1305
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Country | US
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Telephone | 405-418-4014
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Fax | 405-418-4136
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Provider Business Mailing Address
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Address Line | 1417 NW 150TH ST
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City | EDMOND
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State | OK
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Zip | 73013-1305
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Country | US
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Telephone | 405-418-4041
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD433272
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | R-8249
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 27605
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 27605
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License Number State | OK
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