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General NPI Number Information
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NPI Number | 1558510602
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Entity Type | Organization
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Legal Business Name | HAYATH JAVEED MD PA
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Dates
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Enumeration Date | 09/13/2008
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Last Update Date | 09/13/2008
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Provider Practice Location Address
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Address Line | 4904 MOOG RD
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City | HOLIDAY
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State | FL
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Zip | 34690-1857
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Country | US
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Telephone | 172-794-4505
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Fax | 172-794-2048
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Provider Business Mailing Address
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Address Line | 4904 MOOG RD
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City | HOLIDAY
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State | FL
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Zip | 34690-1857
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Country | US
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Telephone | 172-794-4505
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Fax | 172-794-2048
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAYATH JAVEED
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Credential | M.D
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Telephone | 17279445055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME 71161
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License Number State | FL
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