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General NPI Number Information
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NPI Number | 1588185649
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Entity Type | Individual
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Provider Name | ANIRUDDHA S. PARANJPE MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 500 HARVARD ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0363
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Country | US
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Telephone | 612-624-0579
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Fax |
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Provider Business Mailing Address
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Address Line | 420 DELAWARE ST SE # 741
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-0341
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Country | US
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Telephone | 612-624-0579
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 311084
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License Number State | NY
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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 | 4351028151
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 74777
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License Number State | MN
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