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General NPI Number Information
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NPI Number | 1205489341
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Entity Type | Individual
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Provider Name | ANUJA SULE MD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 1601 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-243-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 NW 10TH AVE RM 359
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City | MIAMI
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State | FL
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Zip | 33136-1012
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Country | US
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Telephone | 305-243-8540
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Fax | 347-333-0540
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | ME167558
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License Number State | FL
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