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General NPI Number Information
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NPI Number | 1366567166
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Entity Type | Organization
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Legal Business Name | TASMINA SHEIKH M D P A
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4600 MILITARY TRAIL STE 221
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City | JUPITER
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State | FL
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Zip | 33458-4813
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Country | US
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Telephone | 561-625-9695
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Fax | 561-625-9745
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Provider Business Mailing Address
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Address Line | 4600 MILITARY TRAIL STE 221
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City | JUPITER
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State | FL
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Zip | 33458-4813
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Country | US
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Telephone | 561-625-9695
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Fax | 561-625-9745
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Authorized Official
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Title or Position | OWNER
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Name | TASMINA SHEIKH
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Credential | MD
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Telephone | 561-625-9695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0080404
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License Number State | FL
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