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General NPI Number Information
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NPI Number | 1154117539
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Entity Type | Organization
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Legal Business Name | PRANA RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 5975 SUNSET DR STE 701
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5174
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Country | US
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Telephone | 917-673-7331
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Fax | 305-564-6364
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Provider Business Mailing Address
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Address Line | 3683 LOQUAT AVE
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City | MIAMI
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State | FL
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Zip | 33133-6217
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Country | US
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Telephone | 917-673-7331
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Fax | 917-673-7331
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Authorized Official
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Title or Position | RHEUMATOLOGIST
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Name | DR. AVNEET VIG
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Credential | MD
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Telephone | 917-673-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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