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General NPI Number Information
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NPI Number | 1265676910
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Entity Type | Individual
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Provider Name | CHARIF SIDANI M.D,
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Gender | Male
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE JACKSON MEMORIAL HOSPITAL. WW 279
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-8178
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Fax | 305-585-5743
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Provider Business Mailing Address
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Address Line | 1400 NW 10TH AVE APT 1512
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City | MIAMI
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State | FL
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Zip | 33136-1000
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Country | US
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Telephone | 305-910-8258
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME1659
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License Number State | FL
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