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General NPI Number Information
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NPI Number | 1144816976
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Entity Type | Organization
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Legal Business Name | ATLAS VEIN CARE SPECIALISTS PA
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 2020 HIGHWAY A1A STE 110
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-3581
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Country | US
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Telephone | 321-978-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 2636 MCDONALD TER
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City | MOUNT DORA
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State | FL
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Zip | 32757-4715
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Country | US
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Telephone | 850-554-8182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZAHER ELMIR
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Credential | MD
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Telephone | 321-978-8348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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