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General NPI Number Information
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NPI Number | 1245456383
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Entity Type | Organization
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Legal Business Name | B.J. ANARUMO, D.O.,P.A.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 18308 MURDOCK CIR UNIT 103
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1025
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Country | US
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Telephone | 941-629-3618
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Fax | 941-629-9809
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Provider Business Mailing Address
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Address Line | 18308 MURDOCK CIR UNIT 103
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1025
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Country | US
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Telephone | 941-629-3618
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Fax | 941-629-9809
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Authorized Official
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Title or Position | PHYSICIAN, PRESIDENT
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Name | DR. BEVERLY JOY ANARUMO
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Credential | D.O.
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Telephone | 941-629-3618
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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 | OS 5876
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License Number State | FL
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