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General NPI Number Information
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NPI Number | 1124656426
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Entity Type | Organization
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Legal Business Name | SHAKER HAMADIYA MD
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 40 SW 13TH ST STE 402
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City | MIAMI
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State | FL
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Zip | 33130-4343
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Country | US
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Telephone | 305-469-1188
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Fax | 786-641-5626
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Provider Business Mailing Address
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Address Line | 40 SW 13TH ST STE 402
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City | MIAMI
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State | FL
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Zip | 33130-4343
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Country | US
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Telephone | 305-469-1188
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Fax | 786-641-5626
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Authorized Official
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Title or Position | OWNER/MD
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Name | SHAKER HAMADIYA
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Credential | MD
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Telephone | 919-259-2627
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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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