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General NPI Number Information
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NPI Number | 1508205279
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Entity Type | Individual
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Provider Name | ANAND VIJAY VAKHARIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 201 SW 84 AVE
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City | PLANTAION
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State | FL
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Zip | 33324
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Country | US
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Telephone | 954-747-7373
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Fax | 954-741-9074
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Provider Business Mailing Address
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Address Line | 2806 JUNIPER LANE
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City | DAVIE
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State | FL
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Zip | 33330
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Country | US
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Telephone | 954-243-9737
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 302266
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME125784
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License Number State | FL
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