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General NPI Number Information
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NPI Number | 1306834361
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Entity Type | Individual
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Provider Name | HALA A FAKHRE MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 9611 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-2334
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Country | US
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Telephone | 954-424-7000
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Fax | 954-424-6003
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 954-424-7000
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Fax | 954-424-6003
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 67037
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME93202
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License Number State | FL
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