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General NPI Number Information
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NPI Number | 1063682540
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Entity Type | Organization
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Legal Business Name | OMAR AREF MD PLC
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 1707 W REYNOLDS ST
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City | PLANT CITY
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State | FL
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Zip | 33563-4737
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Country | US
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Telephone | 813-756-5695
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Fax | 813-059-3635
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Provider Business Mailing Address
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Address Line | 1707 W REYNOLDS ST
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City | PLANT CITY
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State | FL
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Zip | 33563-4737
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Country | US
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Telephone | 813-756-5695
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Fax | 813-059-3635
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. OMAR AREF
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Credential | M.D.
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Telephone | 813-567-5682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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