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General NPI Number Information
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NPI Number | 1356827174
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Entity Type | Individual
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Provider Name | M RUBAYAT RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 910 OLD CAMP RD STE 210
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City | THE VILLAGES
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State | FL
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Zip | 32162-5605
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Country | US
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Telephone | 352-751-3356
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Fax | 352-751-3359
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Provider Business Mailing Address
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Address Line | 7497 JOHN HANCOCK DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5691
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Country | US
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Telephone | 806-407-4877
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME172042
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License Number State | FL
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