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General NPI Number Information
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NPI Number | 1700886108
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Entity Type | Individual
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Provider Name | HANI A RAZEK MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 1118 GULF BREEZE PARKWAY SUITE 102
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City | GULF BREEZE
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State | FL
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Zip | 32561-6339
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Country | US
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Telephone | 850-484-6500
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Fax | 850-857-1747
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Provider Business Mailing Address
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Address Line | 1717 NORTH E STREET SUITE 333
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City | PENSACOLA
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State | FL
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Zip | 32501
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Country | US
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Telephone | 850-484-6500
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Fax | 850-857-1746
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD.32525
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME85853
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License Number State | FL
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