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General NPI Number Information
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NPI Number | 1710477047
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Entity Type | Individual
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Provider Name | JUMANA AL-DEEK DO
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Gender | Female
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 2863 DELANEY AVE
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City | ORLANDO
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State | FL
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Zip | 32806-5495
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Country | US
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Telephone | 407-259-4086
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Fax |
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Provider Business Mailing Address
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Address Line | 508 SHERBURN CT
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City | ORLANDO
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State | FL
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Zip | 32828-9015
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Country | US
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Telephone | 407-259-4086
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS16503
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License Number State | FL
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