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General NPI Number Information
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NPI Number | 1326985425
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Entity Type | Organization
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Legal Business Name | APOLLO PEDIATRIC ENDOCRINOLOGY PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 319 W CALL ST STE B
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City | STARKE
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State | FL
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Zip | 32091-3172
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Country | US
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Telephone | 832-228-0163
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Fax | 904-580-4740
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Provider Business Mailing Address
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Address Line | 6144 SAN JOSE BLVD W
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2345
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Country | US
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Telephone | 832-228-0163
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Fax | 904-580-4740
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Authorized Official
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Title or Position | OWNER
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Name | REHAM HASAN
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Credential | MD
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Telephone | 832-228-0163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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