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General NPI Number Information
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NPI Number | 1649525734
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Entity Type | Individual
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Provider Name | AYESHA AHMED M.D
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD STE 760
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3777
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Country | US
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Telephone | 561-733-4000
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Fax | 561-733-5004
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 561-733-4400
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Fax | 561-733-5004
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME139705
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License Number State | FL
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