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General NPI Number Information
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NPI Number | 1447857420
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Entity Type | Individual
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Provider Name | HASEEBUDDIN MOHAMMED AHMED M.D
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Gender | Male
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 7439 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19136-3600
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Country | US
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Telephone | 215-333-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 520 3RD ST
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City | OCOEE
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State | FL
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Zip | 34761-2446
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD478448
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1524
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License Number State | FL
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