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General NPI Number Information
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NPI Number | 1801846407
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Entity Type | Individual
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Provider Name | ZAHRA G PROMES MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 201 N LAKEMONT AVE SUITE 700
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City | WINTER PARK
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State | FL
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Zip | 32792-3228
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Country | US
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Telephone | 407-644-3726
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Fax | 407-644-4594
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Provider Business Mailing Address
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Address Line | 201 N LAKEMONT AVE SUITE 700
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City | WINTER PARK
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State | FL
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Zip | 32792-3228
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Country | US
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Telephone | 407-644-3726
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Fax | 407-644-4594
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME83946
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License Number State | FL
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