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NPI 1326207739

NPI 1326207739 : AMANI D POLITANO MD : FISHERSVILLE, VA

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General NPI Number Information
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    NPI Number           |    1326207739
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    Entity Type          |    Individual 
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    Provider Name        |    AMANI D POLITANO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2008
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    70 MEDICAL CENTER CIR STE 213 
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    City                 |    FISHERSVILLE
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    State                |    VA
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    Zip                  |    22939-2273
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    Country              |    US
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    Telephone            |    540-245-7705
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    Fax                  |    540-245-7710
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Provider Business Mailing Address
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    Address Line         |    PO BOX 388 
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    City                 |    FISHERSVILLE
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    State                |    VA
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    Zip                  |    22939-0388
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    Country              |    US
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    Telephone            |    540-332-5168
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    Fax                  |    540-332-5875
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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        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    0101259458
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    MD182363
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    License Number State |    OR
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