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General NPI Number Information
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NPI Number | 1184709503
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Entity Type | Individual
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Provider Name | ANAND DAVE PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2 TAMPA GENERAL CIR
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City | TAMPA
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State | FL
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Zip | 33606-3571
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Country | US
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Telephone | 813-821-8038
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Fax |
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Provider Business Mailing Address
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Address Line | 2119 MARY LN
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City | PALM HARBOR
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State | FL
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Zip | 34685-2110
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Country | US
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Telephone | 516-459-5092
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1078
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0011335
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9109622
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12413
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License Number State | GA
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