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General NPI Number Information
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NPI Number | 1992561716
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Entity Type | Organization
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Legal Business Name | MD STAT HEALTH CENTERS, LLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 2701 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4941
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Country | US
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Telephone | 917-833-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 20 10TH ST NW UNIT 1704
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City | ATLANTA
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State | GA
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Zip | 30309-3869
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Country | US
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Telephone | 917-833-3022
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BABAK SADAATMAND
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Credential | MD
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Telephone | 917-833-3022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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