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General NPI Number Information
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NPI Number | 1912126624
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Entity Type | Individual
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Provider Name | MAHER BESHAY RPT
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13795 SW 36TH AVENUE RD STE 5
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City | OCALA
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State | FL
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Zip | 34473-6104
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Country | US
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Telephone | 352-307-0766
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Fax | 352-307-4064
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Provider Business Mailing Address
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Address Line | 10916 SE TIMUCUAN RD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-4651
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Country | US
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Telephone | 352-454-8322
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Fax | 352-307-4064
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18496
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License Number State | FL
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