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General NPI Number Information
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NPI Number | 1265711139
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Entity Type | Organization
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Legal Business Name | DIABETES AND ENDOCRINE CLINIC PLLC
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 155 CRYSTAL BEACH DR STE 137C
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City | DESTIN
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State | FL
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Zip | 32541-3588
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Country | US
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Telephone | 850-460-7090
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Fax | 850-460-7093
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Provider Business Mailing Address
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Address Line | 155 CRYSTAL BEACH DR STE 137C
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City | DESTIN
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State | FL
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Zip | 32541-3588
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Country | US
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Telephone | 850-460-7090
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Fax | 850-460-7093
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERIEF M KAMEL
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Credential | M.D.
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Telephone | 850-460-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME92200
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License Number State | FL
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