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General NPI Number Information
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NPI Number | 1447394549
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Entity Type | Organization
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Legal Business Name | ANTHONY B. AGRIOS, MD PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6440 W NEWBERRY RD SUITE 111
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City | GAINESVILLE
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State | FL
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Zip | 32605-4381
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Country | US
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Telephone | 352-331-3332
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Fax | 352-331-3320
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Provider Business Mailing Address
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Address Line | 6440 W NEWBERRY RD SUITE 111
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City | GAINESVILLE
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State | FL
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Zip | 32605-4381
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Country | US
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Telephone | 352-331-3332
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Fax | 352-331-3320
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | VIVYNNE M AGRIOS
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Credential |
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Telephone | 352-331-3332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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