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General NPI Number Information
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NPI Number | 1538444344
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Entity Type | Organization
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Legal Business Name | ABDUL S. AGHA, M.D., PA
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 6701 SUNSET DRIVE SUITE 103
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City | MIAMI
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State | FL
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Zip | 33143-4529
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Country | US
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Telephone | 305-661-2041
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Fax | 305-663-1015
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Provider Business Mailing Address
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Address Line | 6701 SUNSET DRIVE SUITE 103
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City | MIAMI
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State | FL
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Zip | 33143-4529
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Country | US
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Telephone | 305-661-2041
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Fax | 305-663-1015
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABDUL S. AGHA
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Credential | M.D.
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Telephone | 305-661-2041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0016704
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License Number State | FL
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