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General NPI Number Information
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NPI Number | 1306158035
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Entity Type | Individual
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Provider Name | PUSHPA RAJ POUDEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-2346
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Country | US
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Telephone | 352-265-5911
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Fax | 352-265-5606
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Provider Business Mailing Address
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Address Line | PO BOX 100186
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City | GAINESVILLE
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State | FL
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Zip | 32610-0186
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Country | US
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Telephone | 352-265-5911
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Fax | 352-265-5606
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME125134
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2014-02134
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME125134
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License Number State | FL
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