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General NPI Number Information
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NPI Number | 1043666423
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Entity Type | Individual
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Provider Name | DIVYA JANARDHANAN
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 13009 GULF COMMERCE DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77034-1576
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Country | US
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Telephone | 832-916-2075
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Fax | 832-916-2480
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Provider Business Mailing Address
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Address Line | PO BOX 57781
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City | WEBSTER
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State | TX
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Zip | 77598-7781
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Country | US
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Telephone | 832-916-2075
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Fax | 832-916-2480
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 282313
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | T0525
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | T0525
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License Number State | TX
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