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General NPI Number Information
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NPI Number | 1659553345
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Entity Type | Organization
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Legal Business Name | ADEL M SIDKY MD PA
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 323 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7234
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Country | US
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Telephone | 561-737-1818
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Fax | 561-737-5108
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Provider Business Mailing Address
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Address Line | 323 SE 23RD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7234
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Country | US
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Telephone | 561-737-1818
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Fax | 561-737-5108
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADEL M SIDKY
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Credential | M.D.
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Telephone | 561-737-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME 44829
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License Number State | FL
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