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General NPI Number Information
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NPI Number | 1114803251
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Entity Type | Individual
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Provider Name | PAVAN MAKAVANA
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Gender | Male
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 17358 SW 36TH ST
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City | MIRAMAR
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State | FL
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Zip | 33029-1606
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Country | US
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Telephone | 954-743-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 17358 SW 36TH ST
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City | MIRAMAR
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State | FL
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Zip | 33029-1606
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 13465
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License Number State | GA
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