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General NPI Number Information
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NPI Number | 1265404354
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Entity Type | Organization
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Legal Business Name | PAVAN K ANAND MD PA
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 599 9TH ST N STE 210
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City | NAPLES
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State | FL
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Zip | 34102
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Country | US
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Telephone | 239-435-1999
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Fax | 239-435-9697
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Provider Business Mailing Address
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Address Line | 599 9TH ST N STE 210
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City | NAPLES
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State | FL
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Zip | 34102
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Country | US
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Telephone | 239-435-1999
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Fax | 239-435-9697
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | PAVAN K ANAND
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Credential | MD PA
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Telephone | 239-435-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0071556
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License Number State | FL
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