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General NPI Number Information
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NPI Number | 1093843567
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Entity Type | Organization
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Legal Business Name | VICTORIA E HAYDAR MD PA
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 10251 SW 72ND ST STE 102
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City | MIAMI
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State | FL
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Zip | 33173-2957
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Country | US
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Telephone | 305-279-1975
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Fax | 305-274-9263
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Provider Business Mailing Address
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Address Line | 10251 SW 72ND ST STE 102
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City | MIAMI
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State | FL
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Zip | 33173-2957
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Country | US
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Telephone | 305-279-1975
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Fax | 305-274-9263
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Authorized Official
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Title or Position | MD
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Name | VICTORIA E HAYDAR
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Credential |
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Telephone | 305-251-3991
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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 | ME0045809
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License Number State | FL
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