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General NPI Number Information
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NPI Number | 1073845459
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Entity Type | Organization
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Legal Business Name | SHAKTI NARAIN MD PA
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1070 FLAGLER AVE
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City | LEESBURG
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State | FL
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Zip | 34748-7633
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Country | US
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Telephone | 352-365-2550
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Fax | 352-365-1950
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Provider Business Mailing Address
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Address Line | 1070 FLAGLER AVE
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City | LEESBURG
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State | FL
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Zip | 34748-7633
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Country | US
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Telephone | 352-365-2550
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Fax | 352-365-1950
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BINDOO NARAIN
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Credential |
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Telephone | 352-365-2550
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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 | ME56590
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | ME56590
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME56590
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License Number State | FL
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