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General NPI Number Information
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NPI Number | 1023264421
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Entity Type | Organization
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Legal Business Name | K. ANAND, MD, LTD.
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 4 CLUBSIDE CT
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City | BURR RIDGE
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State | IL
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Zip | 60527-8129
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Country | US
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Telephone | 630-789-1316
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Fax | 640-734-8385
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Provider Business Mailing Address
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Address Line | 4 CLUBSIDE CT
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City | BURR RIDGE
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State | IL
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Zip | 60527-8129
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Country | US
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Telephone | 630-789-1316
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Fax | 640-734-8385
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. KRISHNASWAMY ANAND
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Credential | M.D.
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Telephone | 630-789-1316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | IL
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