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General NPI Number Information
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NPI Number | 1982498101
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Entity Type | Organization
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Legal Business Name | AL-SAADA PRIVATE PHYSICIANS LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2716 REW CIR STE 100
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City | OCOEE
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State | FL
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Zip | 34761-4201
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Country | US
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Telephone | 407-515-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 REW CIR STE 100
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City | OCOEE
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State | FL
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Zip | 34761-4201
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Country | US
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Telephone | 407-610-5288
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Fax | 407-610-5209
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMUEL SAAD ELIAS-AUSI
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Credential | MD
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Telephone | 407-610-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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