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General NPI Number Information
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NPI Number | 1225383359
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Entity Type | Individual
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Provider Name | ANKIT ANAND M.D
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Gender | Male
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Dates
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Enumeration Date | 07/15/2012
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 2325 E 30TH ST
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City | FARMINGTON
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State | NM
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Zip | 87401-8900
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Country | US
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Telephone | 505-564-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 735 W ANIMAS ST
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City | FARMINGTON
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State | NM
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Zip | 87401-5616
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Country | US
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Telephone |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD2017-0984
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License Number State | NM
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