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General NPI Number Information
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NPI Number | 1235583956
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Entity Type | Individual
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Provider Name | ANKURA KADAKIA DO
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Gender | Female
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1500 DELHI ST STE 3500
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City | DUBUQUE
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State | IA
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Zip | 52001-6321
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Country | US
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Telephone | 563-557-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 DELHI ST STE 100
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City | DUBUQUE
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State | IA
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Zip | 52001-6320
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 06063
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS17877
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License Number State | FL
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