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General NPI Number Information
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NPI Number | 1750634556
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Entity Type | Organization
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Legal Business Name | SUN STATE HOSPITALISTS LLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 100 OAKMONT LN UNIT 104
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City | BELLEAIR
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State | FL
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Zip | 33756-1984
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Country | US
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Telephone | 617-797-6307
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7707
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City | CLEARWATER
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State | FL
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Zip | 33758-7707
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Country | US
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Telephone | 617-797-6307
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD SIKANDER HAYAT
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Credential | MD
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Telephone | 617-797-6307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME108600
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License Number State | FL
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