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General NPI Number Information
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NPI Number | 1306545645
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Entity Type | Individual
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Provider Name | SAMEH SALEEB
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Gender | Male
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 401 E HINSON AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-5237
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Country | US
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Telephone | 863-438-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E HINSON AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-5237
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Country | US
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Telephone | 863-438-2799
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS67509
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License Number State | FL
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