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General NPI Number Information
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NPI Number | 1710861711
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Entity Type | Individual
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Provider Name | AHMAD BARBOUR MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4200 SUN N LAKE BLVD FL 33872
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City | SEBRING
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State | FL
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Zip | 33872-1986
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Country | US
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Telephone | 863-449-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 4904 GRANADA BLVD
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City | SEBRING
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State | FL
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Zip | 33872-2324
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Country | US
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Telephone | 863-449-9933
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 43955
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License Number State | FL
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