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General NPI Number Information
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NPI Number | 1427693977
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Entity Type | Individual
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Provider Name | ANAYS LAU PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 12550 BISCAYNE BLVD STE 226
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2501
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Country | US
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Telephone | 305-945-2411
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Fax | 305-945-2412
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Provider Business Mailing Address
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Address Line | 8401 SW 107TH AVE APT 122E
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City | MIAMI
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State | FL
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Zip | 33173-4334
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Country | US
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Telephone | 305-778-9621
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113134
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License Number State | FL
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