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General NPI Number Information
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NPI Number | 1295789444
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Entity Type | Individual
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Provider Name | EYAD ALSABBAGH MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 12148 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613
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Country | US
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Telephone | 352-597-7184
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Fax | 352-597-7186
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Provider Business Mailing Address
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Address Line | 12148 CORTEZ BLVD
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City | SPRING HILL
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State | FL
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Zip | 34613-5575
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Country | US
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Telephone | 352-597-7184
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Fax | 352-597-7186
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME88499
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME88499
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License Number State | FL
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