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General NPI Number Information
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NPI Number | 1992941868
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Entity Type | Organization
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Legal Business Name | ADVANCE GASTROENTEROLOGY AND PULMONARY CARE PL
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Dates
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Enumeration Date | 12/26/2008
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 7128 SAGHEER ST
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6535
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Country | US
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Telephone | 352-345-4876
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Fax | 352-345-4880
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Provider Business Mailing Address
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Address Line | 7128 SAGHEER ST
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6535
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Country | US
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Telephone | 352-345-4876
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Fax | 352-345-4880
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SYED BIN-SAGHEER
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Credential | MD
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Telephone | 352-345-4876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME70282
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME103045
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME70282
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License Number State | FL
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