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General NPI Number Information
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NPI Number | 1295996106
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Entity Type | Individual
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Provider Name | AMER ANSARI DO
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Gender | Male
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 3230 HILLSDALE LN
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City | KISSIMMEE
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State | FL
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Zip | 34741-7562
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Country | US
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Telephone | 407-785-1967
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 NW FEDERAL HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-3600
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Country | US
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Telephone | 800-735-1178
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Fax | 772-223-6354
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | OS11586
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | OS11586
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License Number State | FL
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