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General NPI Number Information
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NPI Number | 1679769293
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Entity Type | Organization
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Legal Business Name | ASHRAF ELSAKR, M.D., P.A.,
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 840 DUNLAWTON AVE SUITE A
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City | PORT ORANGE
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State | FL
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Zip | 32127-4223
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Country | US
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Telephone | 386-304-9672
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Fax | 386-304-9673
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Provider Business Mailing Address
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Address Line | 840 DUNLAWTON AVE SUITE A
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City | PORT ORANGE
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State | FL
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Zip | 32127-4223
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Country | US
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Telephone | 386-304-9672
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Fax | 386-304-9673
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHRAF S ELSAKR
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Credential | M.D.
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Telephone | 386-304-9672
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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 | ME70981
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License Number State | FL
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