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General NPI Number Information
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NPI Number | 1518654680
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Entity Type | Organization
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Legal Business Name | FUTURE X ELITE MOBILE CARE LLC
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 13138 SONOMA BEND PL
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City | GIBSONTON
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State | FL
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Zip | 33534-3925
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Country | US
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Telephone | 941-245-9719
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Fax |
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Provider Business Mailing Address
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Address Line | 13138 SONOMA BEND PL
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City | GIBSONTON
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State | FL
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Zip | 33534-3925
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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
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Name | AHMED ABDULGHAFFAR
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Credential |
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Telephone | 941-720-4098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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