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General NPI Number Information
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NPI Number | 1487114419
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Entity Type | Individual
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Provider Name | MUSTAFA HASAN ORAIBI
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 5481 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33634-1264
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Country | US
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Telephone | 813-577-4686
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Fax | 813-577-4694
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Provider Business Mailing Address
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Address Line | 5801 POSTAL RD
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City | CLEVELAND
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State | OH
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Zip | 44181-2184
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Country | US
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Telephone | 561-300-2410
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME176210
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License Number State | FL
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