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General NPI Number Information
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NPI Number | 1326424177
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Entity Type | Organization
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Legal Business Name | MAANYA LLC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 116 MAIN ST
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City | CADIZ
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State | KY
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Zip | 42211-9163
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Country | US
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Telephone | 270-350-4504
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Fax |
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Provider Business Mailing Address
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Address Line | 116 MAIN ST
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City | CADIZ
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State | KY
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Zip | 42211-9163
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Country | US
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Telephone | 270-350-4504
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HARSHUL PATEL
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Credential | M.D.
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Telephone | 212-844-9916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 42143
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44458
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License Number State | KY
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