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General NPI Number Information
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NPI Number | 1053493171
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Entity Type | Individual
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Provider Name | SYED H QADRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 950 COUNTY ROAD 17A W
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City | AVON PARK
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State | FL
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Zip | 33825-2164
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Country | US
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Telephone | 866-234-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 47 5TH ST NW
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4672
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Country | US
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Telephone | 866-234-8534
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 166945
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME104570
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License Number State | FL
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