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General NPI Number Information
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NPI Number | 1326007196
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Entity Type | Individual
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Provider Name | ANH DAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | L6 OMEGA DR
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City | NEWARK
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State | DE
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Zip | 19713-2077
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Country | US
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Telephone | 302-738-9300
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Fax | 302-738-3791
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Provider Business Mailing Address
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Address Line | 1601 MILLTOWN RD SUITE 13
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City | WILMINGTON
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State | DE
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Zip | 19808-4027
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Country | US
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Telephone | 302-993-2330
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0006416
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License Number State | DE
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