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General NPI Number Information
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NPI Number | 1619288925
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Entity Type | Individual
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Provider Name | ANITA MADAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST SUITE 1014
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City | HOUSTON
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State | TX
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Zip | 77030-3000
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Country | US
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Telephone | 832-325-7080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 201088
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City | HOUSTON
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State | TX
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Zip | 77216-1088
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Country | US
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Telephone | 713-500-3500
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Fax | 713-500-8630
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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 | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | FTL 43171
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License Number State | TX
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