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General NPI Number Information
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NPI Number | 1790267607
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Entity Type | Organization
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Legal Business Name | OMAR KAZI, MD, OPHTHALMOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 2822 S ALAFAYA TRL STE 150
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City | ORLANDO
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State | FL
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Zip | 32828-7972
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Country | US
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Telephone | 321-271-4641
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Fax | 321-676-8469
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Provider Business Mailing Address
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Address Line | 1237 HASLEY PL
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City | MELBOURNE
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State | FL
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Zip | 32940-6020
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Country | US
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Telephone | 321-271-4641
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Fax | 321-676-8469
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Authorized Official
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Title or Position | PRESIDENT
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Name | OMAR KAZI
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Credential | MD
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Telephone | 321-271-4641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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