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General NPI Number Information
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NPI Number | 1548216534
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Entity Type | Individual
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Provider Name | ASHA PADMANABHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 604 BANYAN TRL UNIT 811654
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City | BOCA RATON
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State | FL
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Zip | 33481-5075
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Country | US
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Telephone | 561-901-7335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 811654
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City | BOCA RATON
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State | FL
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Zip | 33481-1654
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Country | US
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Telephone | 561-901-7335
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D60529
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD28631
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME96859
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License Number State | FL
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