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General NPI Number Information
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NPI Number | 1134534050
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Entity Type | Individual
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Provider Name | AHMAD HARIS MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 9400 TURKEY LAKE RD
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City | ORLANDO
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State | FL
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Zip | 32819-8001
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Country | US
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Telephone | 321-842-8505
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 KUHL AVE # MP38
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City | ORLANDO
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State | FL
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Zip | 32806-2008
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Country | US
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Telephone | 321-842-4713
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME153189
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 94-08711
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 82277
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NE153189
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License Number State | FL
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