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General NPI Number Information
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NPI Number | 1720577919
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Entity Type | Individual
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Provider Name | IMAD IKHWAN
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Gender | Male
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 52 W UNDERWOOD ST
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 321-841-8727
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Fax | 321-841-4085
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Provider Business Mailing Address
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Address Line | 415 E PINE ST APT 1512
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City | ORLANDO
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State | FL
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Zip | 32801-6626
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Country | US
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Telephone | 562-253-9238
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME148029
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License Number State | FL
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