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General NPI Number Information
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NPI Number | 1972596757
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Entity Type | Individual
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Provider Name | ABDUL NAEEM NAUSHAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 2865 JAMES BLVD
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City | POPLAR BLUFF
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State | MO
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Zip | 63901-2803
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Country | US
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Telephone | 573-776-1100
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Fax | 573-776-1107
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Provider Business Mailing Address
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Address Line | 622 COLLINS DR STE 200
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City | FESTUS
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State | MO
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Zip | 63028-2077
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Country | US
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Telephone | 636-638-1506
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Fax | 636-638-1507
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2002024819
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2002024819
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License Number State | MO
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