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General NPI Number Information
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NPI Number | 1538198080
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Entity Type | Individual
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Provider Name | MEENAKSHI A PANDE MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 1204 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2710
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Country | US
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Telephone | 843-673-0122
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Fax | 843-661-6400
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Provider Business Mailing Address
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Address Line | 1204 E CHEVES ST
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City | FLORENCE
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State | SC
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Zip | 29506-2710
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Country | US
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Telephone | 843-673-0122
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Fax | 843-661-6400
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 26633
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License Number State | SC
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