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General NPI Number Information
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NPI Number | 1447718705
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Entity Type | Individual
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Provider Name | DR. ARCHANA YAMSANI
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 18911 S TAMIAMI TRL
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City | FORT MYERS
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State | FL
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Zip | 33908-4734
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Country | US
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Telephone | 239-590-8820
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Fax | 239-590-8822
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Provider Business Mailing Address
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Address Line | 9050 PASEO DE VALENCIA ST
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City | FORT MYERS
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State | FL
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Zip | 33908-9663
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Country | US
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Telephone | 914-356-6822
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS52579
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License Number State | FL
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