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General NPI Number Information
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NPI Number | 1386958809
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Entity Type | Organization
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Legal Business Name | USBD HOSPITALISTS & CONSULTANTS INC
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 14015 DANPARK LOOP
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City | FORT MYERS
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State | FL
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Zip | 33912-6854
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Country | US
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Telephone | 239-225-1778
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Fax | 239-603-7264
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Provider Business Mailing Address
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Address Line | 14015 DANPARK LOOP
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City | FORT MYERS
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State | FL
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Zip | 33912-6854
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Country | US
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Telephone | 239-225-1778
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Fax | 239-603-7264
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. SHAHEEN FARUQUE
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Credential | M.D.,
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Telephone | 239-225-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | ME95171
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License Number State | FL
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