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General NPI Number Information
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NPI Number | 1942137997
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Entity Type | Organization
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Legal Business Name | FLORIDA ADVANCED CARDIOVASCULAR INSTITUTE, INC.
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 772 MOORLAND LN
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City | PALM HARBOR
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State | FL
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Zip | 34683-6347
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Country | US
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Telephone | 706-631-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 772 MOORLAND LN
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City | PALM HARBOR
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State | FL
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Zip | 34683-6347
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Country | US
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Telephone | 706-631-9302
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI DAHHAN
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Credential | MD
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Telephone | 706-631-9302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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