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General NPI Number Information
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NPI Number | 1558981415
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Entity Type | Individual
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Provider Name | ANASUA DEB MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 982055 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-2055
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Country | US
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Telephone | 806-743-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 982055 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-2055
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Country | US
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Telephone |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 9563
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10071
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License Number State | TX
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