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General NPI Number Information
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NPI Number | 1538206933
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Entity Type | Individual
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Provider Name | S.M. ATIQUR RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 9960 CENTRAL PARK BLVD N STE 450
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City | BOCA RATON
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State | FL
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Zip | 33428-1760
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Country | US
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Telephone | 561-642-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 N FLAGLER DR STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3429
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Country | US
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Telephone | 561-642-1000
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME115118
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME115118
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | ME115118
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License Number State | FL
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