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General NPI Number Information
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NPI Number | 1366749731
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Entity Type | Individual
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Provider Name | ASIM RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 4749 HARGRAVE ST
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City | ORLANDO
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State | FL
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Zip | 32803-4399
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Country | US
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Telephone | 786-778-1679
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 LYNDALE BLVD
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City | MAITLAND
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State | FL
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Zip | 32751-6524
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Country | US
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Telephone | 917-653-8515
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 049511
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME113185
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License Number State | FL
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