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General NPI Number Information
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NPI Number | 1366765695
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Entity Type | Organization
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Legal Business Name | MAGDY FALESTINY LLC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 929 N US HIGHWAY 441 STE 503
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City | LADY LAKE
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State | FL
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Zip | 32159-3001
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Country | US
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Telephone | 352-751-0890
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Fax | 352-751-2634
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Provider Business Mailing Address
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Address Line | 929 N US HIGHWAY 441 STE 503
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City | LADY LAKE
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State | FL
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Zip | 32159-3001
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Country | US
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Telephone | 352-751-0890
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Fax | 352-751-2634
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAGDY FALESTINY
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Credential | M.D.
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Telephone | 352-751-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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