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General NPI Number Information
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NPI Number | 1659564698
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Entity Type | Organization
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Legal Business Name | GULF INTERNAL MEDICINE PL
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 13740 OFFICE PARK CT SUITE # F
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City | HUDSON
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State | FL
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Zip | 34667-7145
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Country | US
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Telephone | 727-861-0900
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Fax | 727-861-5588
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Provider Business Mailing Address
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Address Line | 13740 OFFICE PARK CT SUITE # F
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City | HUDSON
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State | FL
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Zip | 34667-7145
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Country | US
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Telephone | 727-861-0900
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Fax | 727-861-5588
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Authorized Official
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Title or Position | OWNER
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Name | NIDAL HAMAME
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Credential | MD
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Telephone | 727-861-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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