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General NPI Number Information
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NPI Number | 1730718073
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Entity Type | Individual
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Provider Name | REEMA SADRUDDIN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1150 NW 14TH ST STE 600
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City | MIAMI
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State | FL
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Zip | 33136-2137
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Country | US
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Telephone | 205-975-0447
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 NW 14TH ST STE 600
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City | MIAMI
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State | FL
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Zip | 33136-2137
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Country | US
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Telephone | 205-975-0447
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME170068
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License Number State | FL
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