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General NPI Number Information
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NPI Number | 1245531490
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Entity Type | Organization
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Legal Business Name | H V IYER MD PA
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 3475 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34448-2322
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Country | US
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Telephone | 352-628-7672
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Fax | 352-628-5190
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Provider Business Mailing Address
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Address Line | PO BOX 3089
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City | HOMOSASSA SPRINGS
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State | FL
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Zip | 34447-3089
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Country | US
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Telephone | 352-628-7672
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Fax | 352-628-5190
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Authorized Official
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Title or Position | OWNER
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Name | HARI V IYER
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Credential | MD
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Telephone | 352-628-7672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0044371
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License Number State | FL
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