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NPI 1275100059

NPI 1275100059 : KAYWAN SAED DO : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1275100059
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    Entity Type          |    Individual 
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    Provider Name        |    KAYWAN SAED DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2021
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    Last Update Date     |    06/25/2025
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Provider Practice Location Address
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    Address Line         |    7800 SHERIDAN ST 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33024-2536
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    Country              |    US
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    Telephone            |    954-962-9650
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15200 SW 74TH PL 
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    City                 |    PALMETTO BAY
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    State                |    FL
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    Zip                  |    33157-2473
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    Country              |    US
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    Telephone            |    443-652-2738
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    6144
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    OS22506
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    License Number State |    FL
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