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General NPI Number Information
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NPI Number | 1689051278
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Entity Type | Individual
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Provider Name | KARIM REBEIZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2015
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 40946 US HIGHWAY 19 N # 101
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-5446
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Country | US
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Telephone | 813-720-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 N RICHMOND ST
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City | ARLINGTON
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State | VA
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Zip | 22207-4809
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Country | US
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Telephone |
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA11609200
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License Number State | NJ
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