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General NPI Number Information
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NPI Number | 1649696360
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Entity Type | Organization
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Legal Business Name | AGHAPY CARE LLC
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 989 SKYE LANE
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City | PALM HARBOR
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State | FL
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Zip | 34683
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Country | US
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Telephone | 772-992-4413
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Fax |
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Provider Business Mailing Address
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Address Line | 989 SKYE LANE
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City | PALM HARBOR
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State | FL
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Zip | 34683
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Country | US
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Telephone | 727-992-4413
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. AYMAN GEORGE HANNA
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Credential | MD
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Telephone | 727-992-4413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | ME90154
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License Number State | FL
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