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General NPI Number Information
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NPI Number | 1700438454
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Entity Type | Individual
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Provider Name | OSCAR RADI MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 1070 N STONE ST STE A
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City | DELAND
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State | FL
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Zip | 32720-0824
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Country | US
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Telephone | 386-943-7100
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Fax | 386-943-8909
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Provider Business Mailing Address
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Address Line | PO BOX 945385
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City | ATLANTA
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State | GA
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Zip | 30394-5385
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Country | US
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Telephone | 386-943-7100
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Fax | 386-943-8909
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MT218891
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME155907
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License Number State | FL
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