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General NPI Number Information
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NPI Number | 1972389559
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Entity Type | Organization
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Legal Business Name | HADDAD INTERNAL MEDICINE
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 3201 TAMIAMI TRL N STE 139
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City | NAPLES
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State | FL
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Zip | 34103-4135
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Country | US
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Telephone | 239-446-7038
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Fax |
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Provider Business Mailing Address
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Address Line | 16970 SAN CARLOS BLVD STE 160 BOX 183
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City | FORT MYERS
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State | FL
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Zip | 33908-7818
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Country | US
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Telephone | 239-446-7036
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Fax | 949-695-3366
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Authorized Official
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Title or Position | OWNER
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Name | NATALIA HADDAD
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Credential |
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Telephone | 239-446-7036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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