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General NPI Number Information
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NPI Number | 1114102084
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Entity Type | Individual
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Provider Name | HAMED DAVID RAHMANIE MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 1000 MAR WALT DR FORT WALTON BEACH MEDICAL CENTER DEPT OF ANESTHESIOLOGY
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6708
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Country | US
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Telephone | 678-770-8253
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 MAR WALT DR FORT WALTON BEACH MEDICAL CENTER DEPT OF ANESTHESIOLOGY
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6708
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Country | US
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Telephone | 678-770-8253
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME101365
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License Number State | FL
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