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General NPI Number Information
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NPI Number | 1952548273
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Entity Type | Organization
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Legal Business Name | AMERICAN DIAGNOSTIC CARE SERVICES LLC
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 11111 PANAMA CITY BEACH PKWY SUITE 10
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2448
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Country | US
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Telephone | 407-902-9296
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 FRANKFORD AVE APT 201
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City | PANAMA CITY
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State | FL
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Zip | 32405-3006
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Country | US
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Telephone | 407-902-9296
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | MOHAMED HEGAZY
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Credential |
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Telephone | 407-902-9296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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