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General NPI Number Information
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NPI Number | 1134296643
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Entity Type | Individual
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Provider Name | SUNITA ANANTANENI DPM
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 540 WESTERNMILL DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2737
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Country | US
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Telephone | 314-392-9214
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Fax | 314-485-1032
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Provider Business Mailing Address
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Address Line | 540 WESTERNMILL DR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2737
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Country | US
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Telephone | 314-392-9214
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Fax | 314-485-1032
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2006033854
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | IL
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