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General NPI Number Information
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NPI Number | 1558616482
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Entity Type | Organization
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Legal Business Name | MUQEET SIDDIQUI, MD, LLC
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1588 CITRUS MEDICAL CT
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City | OCOEE
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State | FL
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Zip | 34761-4547
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Country | US
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Telephone | 407-725-9069
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Fax | 407-704-5020
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Provider Business Mailing Address
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Address Line | 1588 CITRUS MEDICAL CT
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City | OCOEE
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State | FL
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Zip | 34761-4547
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Country | US
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Telephone | 407-725-9069
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Fax | 407-704-5020
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MUQEET SIDDIQUI
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Credential | M.D.
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Telephone | 407-295-5625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME53264
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License Number State | FL
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