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General NPI Number Information
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NPI Number | 1609730886
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Entity Type | Organization
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Legal Business Name | ANNA MEDICAL GROUP PA
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 490 BOSTON POST RD STE 1A
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City | SUDBURY
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State | MA
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Zip | 01776-3367
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Country | US
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Telephone | 617-693-5767
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Fax | 866-450-0941
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Provider Business Mailing Address
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Address Line | 19266 COASTAL HWY UNIT 41112
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6117
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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 | CEO
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Name | AIMUN MALIK
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Credential |
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Telephone | 314-471-2472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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