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General NPI Number Information
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NPI Number | 1831620004
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Entity Type | Individual
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Provider Name | SAMI KAMEEL SAIKALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 665 STATE ROAD 207
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-5938
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Country | US
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Telephone | 904-325-6165
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Fax | 904-944-3044
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Provider Business Mailing Address
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Address Line | 665 STATE ROAD 207 STE 108
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-5939
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Country | US
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Telephone | 904-325-6165
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Fax | 904-944-3044
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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 | 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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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME149771
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License Number State | FL
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