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General NPI Number Information
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NPI Number | 1700358918
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Entity Type | Individual
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Provider Name | HASHEM ABU BAKER ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/28/2018
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 102 PARK PLACE BLVD # 3
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City | KISSIMMEE
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State | FL
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Zip | 34741-2358
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Country | US
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Telephone | 407-944-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 4316 SUMMIT CREEK BLVD APT 3108
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City | ORLANDO
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State | FL
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Zip | 32837-5587
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Country | US
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Telephone | 407-962-6531
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11000529
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License Number State | FL
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