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General NPI Number Information
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NPI Number | 1477230084
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Entity Type | Organization
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Legal Business Name | FLORIDA SLEEP AND OBESITY PLLC
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Dates
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Enumeration Date | 07/05/2023
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 4024 LAKE BOSSE VIEW DR
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City | ORLANDO
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State | FL
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Zip | 32810-1905
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Country | US
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Telephone | 510-362-1403
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Fax |
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Provider Business Mailing Address
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Address Line | 4024 LAKE BOSSE VIEW DR
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City | ORLANDO
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State | FL
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Zip | 32810-1905
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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 | OWNER/MD
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Name | ABHISHEK KHATRI
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Credential |
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Telephone | 510-362-1403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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