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General NPI Number Information
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NPI Number | 1578731733
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Entity Type | Organization
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Legal Business Name | BASSAM SAYEGH MD PA
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 224 CHIMNEY CORNER LN SUITE 1026
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City | JUPITER
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State | FL
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Zip | 33458-4800
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Country | US
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Telephone | 561-743-7766
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Fax | 561-748-0117
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Provider Business Mailing Address
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Address Line | 224 CHIMNEY CORNER LN SUITE 1026
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City | JUPITER
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State | FL
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Zip | 33458-4800
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Country | US
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Telephone | 561-743-7766
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Fax | 561-748-0117
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Authorized Official
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Title or Position | PRESIDENT CORP
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Name | BASSAM SAYEGH
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Credential | MD
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Telephone | 561-743-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME76049
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME76049
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License Number State |
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