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General NPI Number Information
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NPI Number | 1972502540
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Entity Type | Individual
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Provider Name | NABIL S.H.A. MESSIAH PA-C, MBBCH
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 01/22/2018
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER CMR402
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City | APO
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State | AE
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Zip | 09180
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Country | US
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Telephone | 496371868590
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Fax |
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Provider Business Mailing Address
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Address Line | 653 W 8TH ST FL 3
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6511
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Country | US
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Telephone | 904-383-1014
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Fax | 904-244-5090
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9105307
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9105307
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License Number State | FL
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