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General NPI Number Information
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NPI Number | 1174009195
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Entity Type | Organization
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Legal Business Name | GIMD ANESTHESIA INC
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 7535 SW 62ND CT
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City | OCALA
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State | FL
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Zip | 34476-5596
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Country | US
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Telephone | 352-237-1253
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Fax | 352-237-1254
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Provider Business Mailing Address
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Address Line | 7974 SE 12TH CIR
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City | OCALA
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State | FL
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Zip | 34480-6657
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Country | US
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Telephone | 352-237-1253
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Fax | 352-237-1254
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANAND KESARI
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Credential | MD
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Telephone | 352-237-1253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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