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General NPI Number Information
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NPI Number | 1275827982
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Entity Type | Organization
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Legal Business Name | DR ANUP K PANJWANI AND ASSOCIATES INC
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Dates
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Enumeration Date | 05/31/2011
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 3838 WATKINS MILL DR
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City | ALEXANDRIA
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State | VA
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Zip | 22304-6448
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Country | US
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Telephone | 904-502-6075
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Fax | 904-207-7933
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Provider Business Mailing Address
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Address Line | 3838 WATKINS MILL DR
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City | ALEXANDRIA
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State | VA
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Zip | 22304-6448
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Country | US
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Telephone | 904-502-6075
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Fax | 904-207-7933
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Authorized Official
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Title or Position | PRES
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Name | DR. ANUP KUMAR PANJWANI
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Credential | O.D.
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Telephone | 904-502-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3506
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License Number State | FL
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