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General NPI Number Information
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NPI Number | 1417490301
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Entity Type | Individual
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Provider Name | TSE ANYU DO
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Gender | Male
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-284-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 870 NE 207TH TER UNIT 9-104
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City | MIAMI
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State | FL
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Zip | 33179-1963
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Country | US
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Telephone | 305-857-8451
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | U05266
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C2-0024603
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A23001
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 19081
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License Number State | ND
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