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General NPI Number Information
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NPI Number | 1184382996
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Entity Type | Organization
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Legal Business Name | NARAYANA HEALTHCARE ALLIANCE LLC
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 308 S HARBOR CITY BLVD STE A
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City | MELBOURNE
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State | FL
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Zip | 32901-1500
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Country | US
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Telephone | 321-254-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 308 S HARBOR CITY BLVD STE A
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City | MELBOURNE
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State | FL
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Zip | 32901-1500
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Country | US
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Telephone | 321-254-9060
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | MR. PARAMJIT S AHLUWALIA
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Credential |
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Telephone | 321-254-9060
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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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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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