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General NPI Number Information
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NPI Number | 1417198870
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Entity Type | Individual
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Provider Name | ALTAF GULAMHUSAIN ANGA MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 7000 4TH ST N STE A
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City | ST PETERSBURG
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State | FL
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Zip | 33702-5903
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Country | US
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Telephone | 727-526-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 4TH ST N STE A
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City | ST PETERSBURG
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State | FL
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Zip | 33702-5903
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Country | US
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Telephone | 727-526-3627
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD436462
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD436462
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME118363
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License Number State | FL
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