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General NPI Number Information
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NPI Number | 1518386333
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Entity Type | Organization
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Legal Business Name | EPILEPSY MONITORING CENTERS OF AMERICA, LLC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 226 W MICHIGAN ST SUITE B
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City | ORLANDO
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State | FL
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Zip | 32806-4446
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Country | US
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Telephone | 407-203-6943
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Fax | 407-930-8992
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Provider Business Mailing Address
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Address Line | 226 W MICHIGAN ST SUITE B
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City | ORLANDO
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State | FL
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Zip | 32806-4446
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Country | US
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Telephone | 407-203-6943
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Fax | 407-930-8992
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AHMED H SADEK
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Credential | M.D.
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Telephone | 407-203-6943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | ME97609
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License Number State | FL
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