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General NPI Number Information
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NPI Number | 1255536322
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Entity Type | Organization
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Legal Business Name | ANANT SONPATKI MD PC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 6325 S JONES BLVD STE 500
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City | LAS VEGAS
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State | NV
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Zip | 89118-3336
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Country | US
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Telephone | 702-631-4700
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Fax | 702-818-3882
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Provider Business Mailing Address
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Address Line | PO BOX 777418
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City | HENDERSON
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State | NV
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Zip | 89077-7418
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Country | US
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Telephone | 702-492-1700
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Fax | 702-492-6816
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANANT K SONPATKI
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Credential | MD
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Telephone | 702-492-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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