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General NPI Number Information
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NPI Number | 1003953795
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Entity Type | Individual
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Provider Name | EVDOKIA ANAGNOSTOU MD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ONE GUSTAVE L LEVY PLACE BOX 1230
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-4229
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Fax |
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Provider Business Mailing Address
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Address Line | 506 E 82ND ST APT 5
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City | NEW YORK
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State | NY
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Zip | 10028-7112
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Country | US
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Telephone | 212-348-1835
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | P32899
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License Number State | NY
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