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General NPI Number Information
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NPI Number | 1588896559
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Entity Type | Individual
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Provider Name | ANJALI MARY MASCARENHAS NOBLE D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 2499 GLADES RD SUITE 305A
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City | BOCA RATON
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State | FL
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Zip | 33431-7209
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Country | US
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Telephone | 561-392-3788
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Fax | 561-392-3785
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Provider Business Mailing Address
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Address Line | 2310 NE 32ND CT
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8179
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Country | US
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Telephone | 561-392-3788
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Fax | 561-392-3785
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS7767
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License Number State | FL
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