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General NPI Number Information
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NPI Number | 1265737126
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Entity Type | Individual
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Provider Name | NANDA K NAIR D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 1000 W BROADWAY ST STE 120
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City | OVIEDO
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State | FL
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Zip | 32765-9262
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Country | US
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Telephone | 321-841-6444
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Fax | 218-421-9553
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Provider Business Mailing Address
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Address Line | 1000 W BROADWAY ST STE 120
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City | OVIEDO
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State | FL
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Zip | 32765-9262
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Country | US
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Telephone | 321-841-6444
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Fax | 218-421-9553
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS14748
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MB08931200
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License Number State | NJ
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