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General NPI Number Information
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NPI Number | 1275677254
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Entity Type | Organization
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Legal Business Name | MIDTOWN CLINIC, PA
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 5821 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-3455
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Country | US
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Telephone | 813-788-5524
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Fax | 813-780-6472
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Provider Business Mailing Address
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Address Line | 5821 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-3455
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Country | US
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Telephone | 813-788-5524
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Fax | 813-780-6472
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDUL GHANI
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Credential | MD
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Telephone | 813-788-5524
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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 | ME0026500
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License Number State | FL
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