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General NPI Number Information
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NPI Number | 1992269351
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Entity Type | Organization
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Legal Business Name | SOUTH LAKE ARTHRITIS AND RHEUMATOLOGY, LLC
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3721 S HWY 27 STE B
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City | CLERMONT
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State | FL
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Zip | 34711-7919
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Country | US
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Telephone | 407-900-0191
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Fax | 330-403-6757
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Provider Business Mailing Address
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Address Line | 3721 S HWY 27 STE B
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City | CLERMONT
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State | FL
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Zip | 34711-7919
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Country | US
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Telephone | 612-607-9564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. USMAN TANVEER MALIK
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Credential | MD
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Telephone | 612-607-9564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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