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General NPI Number Information
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NPI Number | 1982765061
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Entity Type | Organization
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Legal Business Name | MOHAMMAD KAMRAN
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 1700 CHRISTINE AVE STE 100
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City | ANNISTON
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State | AL
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Zip | 36207-3813
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Country | US
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Telephone | 256-238-1154
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Fax | 256-240-8080
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Provider Business Mailing Address
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Address Line | 1700 CHRISTINE AVE STE 100
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City | ANNISTON
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State | AL
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Zip | 36207-3813
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Country | US
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Telephone | 256-238-1154
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Fax | 256-240-8080
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. MOHAMMAD KAMRAN
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Credential | M.D.
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Telephone | 256-258-1154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18732
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License Number State | AL
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