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General NPI Number Information
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NPI Number | 1447644570
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Entity Type | Individual
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Provider Name | ASHWIN ANANTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 1851 N MCKENZIE ST STE 106
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City | FOLEY
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State | AL
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Zip | 36535-4704
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Country | US
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Telephone | 251-943-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 1851 N MCKENZIE ST STE 106
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City | FOLEY
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State | AL
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Zip | 36535-4704
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Country | US
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Telephone | 251-943-1117
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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 | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | MD.42784
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 01090539A
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License Number State | IN
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