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General NPI Number Information
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NPI Number | 1912370461
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Entity Type | Organization
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Legal Business Name | AJMAL SULTAN MD PLLC
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 3250 NE 1ST AVE SUITE 705
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City | MIAMI
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State | FL
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Zip | 33137-4191
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Country | US
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Telephone | 305-773-9992
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 370669
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City | MIAMI
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State | FL
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Zip | 33137-0669
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Country | US
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Telephone | 305-773-9992
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AJMAL SULTON
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Credential | MD
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Telephone | 305-773-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME107032
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License Number State | FL
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