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General NPI Number Information
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NPI Number | 1619100070
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE OF GREATER ORLANDO PLC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 142 PARLIAMENT LOOP STE# 1018
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City | LAKE MARY
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State | FL
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Zip | 32746-3562
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Country | US
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Telephone | 407-878-7640
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Fax | 407-878-7651
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Provider Business Mailing Address
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Address Line | PO BOX 950789
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City | LAKE MARY
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State | FL
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Zip | 32795-0789
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Country | US
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Telephone | 407-878-7640
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Fax | 407-878-7651
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAVEED SYED HAMID
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Credential | M.D
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Telephone | 407-878-7640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME97394
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License Number State | FL
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