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General NPI Number Information
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NPI Number | 1114222445
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Entity Type | Organization
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Legal Business Name | ZAIB A UKANI M D P A
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 16244 S MILITARY TRL SUITE # 410
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6534
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Country | US
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Telephone | 561-499-2223
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Fax | 561-638-4919
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Provider Business Mailing Address
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Address Line | 16244 S MILITARY TRL SUITE # 410
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6534
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Country | US
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Telephone | 561-499-2223
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Fax | 561-638-4919
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Authorized Official
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Title or Position | OWNER
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Name | ZAIB A UKANI
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Credential | M.D.
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Telephone | 561-499-2223
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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 | ME0069029
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License Number State | FL
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