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General NPI Number Information
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NPI Number | 1609885680
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CLINIC PA
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 8355 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1139
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Country | US
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Telephone | 352-684-2929
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Fax | 352-684-2929
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Provider Business Mailing Address
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Address Line | 8355 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34606-1139
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Country | US
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Telephone | 352-684-2929
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Fax | 352-684-2929
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | DR. AYMAN OSMAN
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Credential | MD
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Telephone | 352-684-2929
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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 | ME81153 / ME0069703
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License Number State | FL
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