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General NPI Number Information
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NPI Number | 1710611249
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Entity Type | Organization
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Legal Business Name | INFECTIOUS DISEASE SOLUTIONS
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 17942 CACHET ISLE DR
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City | TAMPA
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State | FL
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Zip | 33647-2702
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Country | US
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Telephone | 727-266-0748
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Fax | 813-291-7789
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Provider Business Mailing Address
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Address Line | 17942 CACHET ISLE DR
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City | TAMPA
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State | FL
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Zip | 33647-2702
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Country | US
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Telephone | 727-266-0748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASAD K MOHMAND
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Credential | MD
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Telephone | 727-266-0748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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