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General NPI Number Information
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NPI Number | 1568983690
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Entity Type | Individual
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Provider Name | ANJALI TANEJA DO
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 2000 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94538-1716
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Country | US
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Telephone | 510-797-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 SHADY MEADOW LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-1055
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22090
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License Number State | CA
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