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General NPI Number Information
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NPI Number | 1609866136
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Entity Type | Individual
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Provider Name | BHUVANESWARI K DANDAPANI MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1223 GATEWAY DR STE 2G
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City | MELBOURNE
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State | FL
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Zip | 32901-2607
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Country | US
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Telephone | 321-473-4704
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Fax | 321-725-7028
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone | 321-473-4704
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Fax | 321-951-7408
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | ME63707
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME63707
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License Number State | FL
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