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General NPI Number Information
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NPI Number | 1619037074
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Entity Type | Individual
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Provider Name | ABBAS SINA MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 12012 BOYETTE RD.
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City | RIVERVIEW
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State | FL
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Zip | 33569
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Country | US
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Telephone | 813-605-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 12012 BOYETTE ROAD.
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City | RIVERVIEW
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State | FL
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Zip | 33569
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Country | US
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Telephone | 813-605-3900
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME53812
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME53812
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License Number State | FL
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