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General NPI Number Information
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NPI Number | 1518895747
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Entity Type | Individual
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Provider Name | BACHIR EL HAJ OMAR
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Gender | Male
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 601 E PIONEER AVE STE 203
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City | HOMER
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State | AK
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Zip | 99603-7694
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Country | US
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Telephone | 907-435-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 SW 20TH AVE APT 502
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City | GAINESVILLE
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State | FL
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Zip | 32607-4396
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Country | US
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Telephone | 561-917-3383
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 254172
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License Number State | AK
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