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General NPI Number Information
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NPI Number | 1447201538
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Entity Type | Individual
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Provider Name | KHALID ABUSAADA MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 2501 N ORANGE AVE SUITE 235
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City | ORLANDO
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State | FL
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Zip | 32804-4603
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Country | US
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Telephone | 352-273-5138
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Fax | 352-273-5213
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Provider Business Mailing Address
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Address Line | PO BOX 918025
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 352-273-5138
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Fax | 352-273-5213
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME95355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME95355
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License Number State | FL
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