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General NPI Number Information
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NPI Number | 1033297031
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Entity Type | Individual
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Provider Name | BASHAR OBEIDOU MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 8950 N KENDALL DR SUITE 601
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City | MIAMI
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State | FL
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Zip | 33176-2144
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Country | US
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Telephone | 305-279-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 N KENDALL DR SUITE 601
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City | MIAMI
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State | FL
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Zip | 33176-2139
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Country | US
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Telephone | 305-279-4500
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 63546
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME124405
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License Number State | FL
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