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General NPI Number Information
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NPI Number | 1609244136
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Entity Type | Organization
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Legal Business Name | ARBOR MEDICAL GROUP, PLLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1950 LAUREL MANOR DR BUILDING 200, SUITE 206
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City | THE VILLAGES
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State | FL
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Zip | 32162-5603
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Country | US
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Telephone | 352-326-8081
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Fax | 352-326-5084
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Provider Business Mailing Address
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Address Line | 1950 LAUREL MANOR DR BUILDING 200, SUITE 206
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City | THE VILLAGES
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State | FL
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Zip | 32162-5603
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Country | US
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Telephone | 352-326-8081
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Fax | 352-326-5084
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | SUMANTH PADMANABH
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Credential | M.D.
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Telephone | 352-326-8081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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