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General NPI Number Information
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NPI Number | 1013397199
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Entity Type | Individual
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Provider Name | KERI ANANIA P.A.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 112 W 2ND ST STE 3
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City | GRAND ISLAND
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State | NE
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Zip | 68801-5950
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Country | US
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Telephone | 308-390-2663
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Fax | 308-365-1315
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Provider Business Mailing Address
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Address Line | 112 W 2ND ST STE 3
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City | GRAND ISLAND
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State | NE
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Zip | 68801-5950
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Country | US
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Telephone | 308-390-2663
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Fax | 308-365-1315
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2068
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License Number State | NE
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