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General NPI Number Information
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NPI Number | 1265211692
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Entity Type | Individual
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Provider Name | OMAR FARID AWWAD PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 16401 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33169-6036
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Country | US
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Telephone | 305-947-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 NW 145TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2864
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Country | US
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Telephone | 832-768-9223
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | FL
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