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General NPI Number Information
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NPI Number | 1447555396
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Entity Type | Organization
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Legal Business Name | ANANT LLC
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 16744 CAGAN CROSSINGS BLVD SUITE 207 A
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City | CLERMONT
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State | FL
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Zip | 34714-4886
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Country | US
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Telephone | 352-989-5913
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Fax | 352-989-5914
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Provider Business Mailing Address
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Address Line | 16744 CAGAN CROSSINGS BLVD SUITE 207 A
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City | CLERMONT
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State | FL
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Zip | 34714-4886
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Country | US
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Telephone | 352-989-5913
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Fax | 352-989-5914
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Authorized Official
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Title or Position | OWNER
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Name | HETAL PATEL
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Credential |
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Telephone | 352-989-5913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH30546
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License Number State | FL
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