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General NPI Number Information
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NPI Number | 1821714395
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Entity Type | Organization
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Legal Business Name | MENES UNION CORPORATION
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 01/22/2023
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Provider Practice Location Address
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Address Line | 4515 WILES RD STE 201
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3414
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Country | US
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Telephone | 954-943-1133
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Fax | 954-783-6845
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Provider Business Mailing Address
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Address Line | 845 W PLANTATION CIR
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City | PLANTATION
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State | FL
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Zip | 33324-1420
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Country | US
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Telephone | 813-541-1201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUSSEIN KALAHY OSMAN MOHAMED
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Credential | MD
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Telephone | 813-541-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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