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General NPI Number Information
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NPI Number | 1790927200
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Entity Type | Individual
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Provider Name | FAISAL HUDA MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 211
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1420
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Country | US
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Telephone | 954-417-1330
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Fax | 954-637-1955
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Provider Business Mailing Address
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Address Line | 18501 PINES BLVD STE 211
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1420
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Country | US
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Telephone | 954-417-1330
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Fax | 954-637-1955
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME115739
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License Number State | FL
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Taxonomy #2
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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 |
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License Number State |
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