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General NPI Number Information
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NPI Number | 1053600874
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Entity Type | Individual
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Provider Name | MAGDA M. AMER MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 309 PALM COAST PKWY NE
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City | PALM COAST
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State | FL
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Zip | 32137-3886
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Country | US
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Telephone | 386-254-4242
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Fax | 386-258-4858
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Provider Business Mailing Address
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Address Line | 57 FOXCROFT RUN
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City | ORMOND BEACH
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State | FL
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Zip | 32174-2476
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Country | US
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Telephone | 201-282-1690
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Fax | 386-676-7125
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME123465
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License Number State | FL
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