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General NPI Number Information
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NPI Number | 1801151071
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Entity Type | Organization
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Legal Business Name | M HUSSAM ALAYOUBI MD PA
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 5901 COLONIAL DR SUITE 208
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City | MARGATE
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State | FL
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Zip | 33063-5675
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Country | US
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Telephone | 954-590-2660
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Fax | 954-590-2677
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Provider Business Mailing Address
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Address Line | 5901 COLONIAL DR SUITE 208
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City | MARGATE
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State | FL
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Zip | 33063-5675
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Country | US
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Telephone | 954-590-2660
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Fax | 954-590-2677
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUHAMMED HUSSAM ALAYOUBI
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Credential | M.D, P.A
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Telephone | 954-590-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME 70945
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License Number State | FL
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