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General NPI Number Information
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NPI Number | 1043281215
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Entity Type | Individual
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Provider Name | SHAHID FAROOQ USMANI MD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1551 BOREN DR SUITE # A
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City | OCOEE
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State | FL
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Zip | 34761-2966
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Country | US
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Telephone | 407-877-8300
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Fax | 407-877-8841
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Provider Business Mailing Address
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Address Line | 1551 BOREN DR STE A
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City | OCOEE
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State | FL
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Zip | 34761-2966
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Country | US
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Telephone | 407-395-2037
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Fax | 73-952-0384
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME58828
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License Number State | FL
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