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General NPI Number Information
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NPI Number | 1407877202
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Entity Type | Individual
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Provider Name | ANIS AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 400 DELAWARE AVE SUITE 105
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City | MILLSBORO
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State | DE
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Zip | 19966-1718
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Country | US
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Telephone | 302-934-1861
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Fax | 302-934-7318
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Provider Business Mailing Address
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Address Line | 505 W MARKET ST STE 110
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City | GEORGETOWN
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State | DE
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Zip | 19947-2344
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Country | US
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Telephone | 302-854-0626
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Fax | 302-752-1500
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0058183
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1 0005262
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0005262
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License Number State | DE
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