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General NPI Number Information
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NPI Number | 1497842090
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Entity Type | Individual
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Provider Name | MUHAMMAD ANWAR MOLANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 16237 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-2201
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Country | US
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Telephone | 818-995-5231
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Fax | 818-995-5397
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Provider Business Mailing Address
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Address Line | PO BOX 29472
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City | SAINT LOUIS
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State | MO
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Zip | 63126-7472
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Country | US
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Telephone | 818-998-1578
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Fax | 818-998-1578
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 12708R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | C53899
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License Number State | CA
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