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General NPI Number Information
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NPI Number | 1154427474
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Entity Type | Individual
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Provider Name | SADRUNNISA S HAMEEDI MD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/07/2010
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Provider Practice Location Address
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Address Line | 809 A DELTONA BLVD
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City | DELTONA
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State | FL
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Zip | 32725
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Country | US
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Telephone | 386-574-9034
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Fax | 386-574-9095
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Provider Business Mailing Address
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Address Line | PO BOX 5847
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City | DELTONA
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State | FL
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Zip | 32728-5847
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Country | US
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Telephone | 386-574-9034
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Fax | 386-574-9095
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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 | ME0042306
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License Number State | FL
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