MEDICARE: BACHIR EL HAJ OMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	254172	AK

General Provider Information

NPI Number	:	1518895747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BACHIR EL HAJ OMAR

Provider Business Mailing Address
First Line	:	3800 SW 20TH AVE APT 502
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-4396
Country	:	US
Telephone Number	:	561-917-3383
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 E PIONEER AVE STE 203
Second Line	:
City	:	HOMER
State	:	AK
Zip	:	99603-7694
Country	:	US
Telephone Number	:	907-435-1071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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Directions to “ BACHIR EL HAJ OMAR ” Practice Location

Language	Start Address	Practice Location

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