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General NPI Number Information
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NPI Number | 1275571572
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Entity Type | Individual
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Provider Name | ROBERT M HADDAD MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 3201 TAMIAMI TRL N STE 139
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City | NAPLES
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State | FL
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Zip | 34103-4135
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Country | US
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Telephone | 239-446-7038
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Fax | 949-695-3366
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Provider Business Mailing Address
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Address Line | 16970 SAN CARLOS BLVD STE 160 BOX 183
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City | FT MYERS
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State | FL
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Zip | 33908
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Country | US
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Telephone | 239-446-7038
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Fax | 949-695-3366
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME106006
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License Number State | FL
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