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General NPI Number Information
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NPI Number | 1518308170
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Entity Type | Organization
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Legal Business Name | DR.BADAWY PAIN & SPINE CENTER, LLC
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 4351 HUNTERS PARK LN
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City | ORLANDO
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State | FL
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Zip | 32837-7614
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Country | US
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Telephone | 407-574-3129
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Fax | 407-985-4702
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Provider Business Mailing Address
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Address Line | 4351 HUNTERS PARK LN
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City | ORLANDO
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State | FL
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Zip | 32837-7614
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Country | US
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Telephone | 407-985-4700
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Fax | 407-985-4702
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Authorized Official
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Title or Position | OWNER
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Name | AMR H. BADAWY
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Credential |
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Telephone | 407-985-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | ME 110154
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License Number State | FL
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