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General NPI Number Information
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NPI Number | 1346753225
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Entity Type | Organization
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Legal Business Name | ASM RAHMAN MD LLC
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 5050 COUNTY ROAD 472
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City | OXFORD
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State | FL
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Zip | 34484-3750
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Country | US
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Telephone | 646-483-9029
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Fax | 407-554-3280
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Provider Business Mailing Address
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Address Line | PO BOX 5518
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City | OCALA
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State | FL
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Zip | 34478-5518
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Country | US
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Telephone | 646-483-9029
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Fax | 407-554-3280
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Authorized Official
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Title or Position | CEO
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Name | ASM RAHMAN
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Credential | MD
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Telephone | 646-483-9029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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