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General NPI Number Information
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NPI Number | 1467317743
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Entity Type | Individual
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Provider Name | EBAD KAZMI
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Gender | Male
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 10000 STIRLING RD STE 4B
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8067
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Country | US
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Telephone | 305-613-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 11219 SW 147TH CT
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City | MIAMI
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State | FL
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Zip | 33196-3342
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Country | US
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Telephone | 305-562-7815
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT26698
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License Number State | FL
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