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General NPI Number Information
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NPI Number | 1124843669
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Entity Type | Organization
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Legal Business Name | LAMIS MEDICAL LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 14832 NORMANS CAY CIR APT 102
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City | LUTZ
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State | FL
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Zip | 33559-3502
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Country | US
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Telephone | 813-955-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 14832 NORMANS CAY CIR APT 102
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City | LUTZ
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State | FL
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Zip | 33559-3502
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Country | US
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Telephone | 813-955-3078
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MALIK HAMDAN
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Credential | MD
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Telephone | 304-641-7477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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