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General NPI Number Information
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NPI Number | 1053326413
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Entity Type | Organization
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Legal Business Name | PRADIP KANANI MD AND HARINI KANANI MD PA
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 2698 N GALLOWAY AVE SUITE # 106
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City | MESQUITE
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State | TX
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Zip | 75150-6383
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Country | US
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Telephone | 972-285-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 2698 N GALLOWAY AVE SUITE # 106
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City | MESQUITE
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State | TX
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Zip | 75150-6383
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Country | US
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Telephone | 972-285-4141
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | PRADIP KANANI
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Credential | MD
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Telephone | 972-285-4141
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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 |
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License Number State |
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