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General NPI Number Information
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NPI Number | 1497167787
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Entity Type | Individual
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Provider Name | ANJALI D TAPADIA MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 1075 YORBA PL STE 205
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City | PLACENTIA
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State | CA
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Zip | 92870-3107
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Country | US
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Telephone | 714-912-7002
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Fax | 714-975-9822
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Provider Business Mailing Address
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Address Line | 1075 YORBA PL STE 205
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City | PLACENTIA
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State | CA
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Zip | 92870-3107
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Country | US
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Telephone | 714-912-7002
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35137351
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A155328
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License Number State | CA
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