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General NPI Number Information
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NPI Number | 1194907667
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Entity Type | Individual
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Provider Name | WALEED ABBAS BOLAD MD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5750 MAJOR BLVD STE 150
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City | ORLANDO
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State | FL
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Zip | 32819-7971
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Country | US
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Telephone | 407-409-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W GORE ST STE 200
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City | ORLANDO
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State | FL
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Zip | 32806-1008
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Country | US
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Telephone | 407-409-8118
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Fax | 407-264-6562
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME120763
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License Number State | FL
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