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General NPI Number Information
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NPI Number | 1194624890
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Entity Type | Organization
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Legal Business Name | AYC TANK LINE LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 14430 NW 11TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2901
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Country | US
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Telephone | 916-888-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 14430 NW 11TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMIR CHEEMA
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Credential |
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Telephone | 916-888-7788
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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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