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General NPI Number Information
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NPI Number | 1417348699
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Entity Type | Organization
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Legal Business Name | MUNI V. PADMAN, M.D., P.A.
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 601 E DIXIE AVE PLAZA 101
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City | LEESBURG
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State | FL
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Zip | 34748-5953
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Country | US
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Telephone | 352-326-8081
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Fax | 352-326-5084
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Provider Business Mailing Address
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Address Line | 601 E DIXIE AVE PLAZA 101
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City | LEESBURG
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State | FL
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Zip | 34748-5953
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Country | US
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Telephone | 352-326-8081
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Fax | 352-326-5084
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Authorized Official
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Title or Position | DR / OWNER
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Name | DR. MUNI V PADMAN
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Credential | M.D., P.A.
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Telephone | 352-326-8081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | ME39071
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License Number State | FL
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