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General NPI Number Information
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NPI Number | 1437319092
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Entity Type | Individual
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Provider Name | NAIEL HAFEZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE RD DEPT OF PATHOLOGY
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City | NAPLES
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State | FL
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Zip | 34119
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Country | US
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Telephone | 239-305-6075
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 PINE RIDGE RD J402
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City | NAPLES
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State | FL
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Zip | 34119
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Country | US
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Telephone | 239-305-6075
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME104665
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License Number State | FL
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