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General NPI Number Information
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NPI Number | 1972712750
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Entity Type | Individual
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Provider Name | SUDAH SHAHEB
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | MICCOSUKEE HEALTH DEPARTMENT 37790 SW 8TH ST,
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City | MIAMI
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State | FL
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Zip | 33194
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Country | US
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Telephone | 305-223-8380
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Fax |
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Provider Business Mailing Address
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Address Line | 7627 SW 102ND PL
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City | MIAMI
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State | FL
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Zip | 33173-3960
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Country | US
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Telephone | 786-328-9186
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Fax |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 21038
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License Number State | NE
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