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General NPI Number Information
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NPI Number | 1598279671
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Entity Type | Individual
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Provider Name | SADAF HAFEEZ MD
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 213 NW SAINT JAMES DR STE 3
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-1291
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Country | US
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Telephone | 772-446-4640
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Fax | 772-446-4922
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Provider Business Mailing Address
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Address Line | 5400 PINEHURST DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3833
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME144027
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License Number State | FL
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