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General NPI Number Information
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NPI Number | 1245029776
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Entity Type | Organization
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Legal Business Name | EXCELLENCE IN MEDICINE AND INFECTIOUS DISEASES
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD FL 5
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City | GAINESVILLE
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State | FL
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Zip | 32610-1135
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Country | US
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Telephone | 352-535-8025
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31
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City | ARCHER
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State | FL
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Zip | 32618-0031
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Country | US
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Telephone | 352-535-8025
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Fax |
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Authorized Official
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Title or Position | MD
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Name | IMRAN SAMNANI
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Credential | MD
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Telephone | 352-535-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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