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General NPI Number Information
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NPI Number | 1447182290
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Entity Type | Organization
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Legal Business Name | DIABETES CARE & ENDOCRINOLOGY OF SOUTH FLORIDA LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 2091 W ATLANTIC AVE APT 5505
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4805
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Country | US
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Telephone | 248-686-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 W ATLANTIC AVE APT 5505
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4805
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Country | US
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Telephone | 248-686-9622
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. SOUAD AL-BACHA
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Credential |
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Telephone | 248-686-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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