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General NPI Number Information
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NPI Number | 1285069559
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Entity Type | Organization
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Legal Business Name | ARJUN D. ANEJA, M.D., LLC
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 325 CLYDE MORRIS BLVD SUITE 300
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8179
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Country | US
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Telephone | 386-672-6356
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Fax | 386-672-6366
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Provider Business Mailing Address
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Address Line | 325 CLYDE MORRIS BLVD SUITE 300
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City | ORMOND BEACH
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State | FL
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Zip | 32174-8179
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Country | US
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Telephone | 386-672-6356
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Fax | 386-672-6366
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Authorized Official
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Title or Position | PHYSICAN
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Name | ARJUN DEV ANEJA
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Credential | M.D.
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Telephone | 386-672-6356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME66169
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License Number State | FL
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