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General NPI Number Information
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NPI Number | 1487238036
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Entity Type | Individual
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Provider Name | SUMER ELSAYED MOHAMED DO
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1825 PONCE DE LEON BLVD STE 142
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City | CORAL GABLES
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State | FL
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Zip | 33134-4418
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Country | US
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Telephone | 305-213-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOSCANA DR APT 224
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City | DAVIE
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State | FL
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Zip | 33314-3493
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Country | US
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Telephone | 732-749-0007
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | OS20444
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License Number State | FL
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