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General NPI Number Information
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NPI Number | 1558857771
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Entity Type | Individual
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Provider Name | UMAR TALAL AHMED O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 6718 LAKE NONA BLVD STE 140
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City | ORLANDO
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State | FL
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Zip | 32827-7984
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Country | US
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Telephone | 407-857-3937
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Fax | 407-392-0420
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Provider Business Mailing Address
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Address Line | 6718 LAKE NONA BLVD STE 140
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City | ORLANDO
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State | FL
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Zip | 32827-7984
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Country | US
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Telephone | 407-857-3937
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Fax | 407-392-0420
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC5599
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License Number State | FL
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