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General NPI Number Information
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NPI Number | 1144522178
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Entity Type | Individual
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Provider Name | NEDA SADAT DPM
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE PHYSICIAN SERVICES EAST TOWER FIRST FLOOR ROOM 1004
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-359-1132
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Fax |
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Provider Business Mailing Address
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Address Line | 3619 NE 207TH ST APT 2207
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City | AVENTURA
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State | FL
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Zip | 33180-4705
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Country | US
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Telephone | 305-359-1132
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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