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General NPI Number Information
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NPI Number | 1558038554
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Entity Type | Organization
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Legal Business Name | DISCOVER PARTNERS MEDICAL GROUP, P.A.
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 2220 SUPERIOR VIADUCT SUITE 11
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City | CLEVELAND
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State | OH
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Zip | 44113
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Country | US
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Telephone | 202-557-5361
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Fax |
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Provider Business Mailing Address
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Address Line | 3109 GRAND AVE # 215
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City | MIAMI
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State | FL
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Zip | 33133-5103
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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 | CEO
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Name | ZAID FADUL
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Credential | MD
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Telephone | 480-490-6656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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