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General NPI Number Information
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NPI Number | 1013913102
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Entity Type | Individual
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Provider Name | ANKUSH KUMAR BANSAL MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 14611 SOUTHERN BLVD 1082
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-6801
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Country | US
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Telephone | 703-646-1869
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Fax |
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Provider Business Mailing Address
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Address Line | 14611 SOUTHERN BLVD 1082
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-6801
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1244797
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2011035989
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101246131
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A110949
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18320
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License Number State | ME
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50291-020
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08633100
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 254229
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25465
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License Number State | WV
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD432005
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036134319
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 51061
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License Number State | TN
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Taxonomy #13
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 18320
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License Number State | ME
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Taxonomy #14
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0055143
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License Number State | CO
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Taxonomy #15
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME105948
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License Number State | FL
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