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General NPI Number Information
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NPI Number | 1407135239
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Entity Type | Individual
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Provider Name | DR. ANIS ANAS KHALAF
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Gender | Male
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 1900 N MILLS AVE STE 102
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City | ORLANDO
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State | FL
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Zip | 32803-1444
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Country | US
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Telephone | 407-370-4444
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Fax | 407-845-0000
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Provider Business Mailing Address
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Address Line | PO BOX 533993
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City | ORLANDO
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State | FL
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Zip | 32853-3993
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Country | US
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Telephone | 813-477-5555
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Fax | 407-370-4488
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3010
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License Number State | FL
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