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General NPI Number Information
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NPI Number | 1194346510
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Entity Type | Organization
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Legal Business Name | INTEAM HEALTH INC
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 11977 S APOPKA VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32836-7025
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Country | US
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Telephone | 863-458-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 10849 EMERALD CHASE DR
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City | ORLANDO
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State | FL
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Zip | 32836-5881
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Country | US
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Telephone | 863-458-0579
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHEIKH K JASIMUDDIN
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Credential | MD
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Telephone | 863-458-0579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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