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General NPI Number Information
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NPI Number | 1619382819
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Entity Type | Individual
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Provider Name | DHANYA NARAYANA PANICKER MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 5445 LANARK RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8694
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Country | US
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Telephone | 484-526-7300
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Fax | 866-449-5832
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Provider Business Mailing Address
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Address Line | 5445 LANARK RD STE 300
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8694
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Country | US
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Telephone | 484-526-7300
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Fax | 866-449-5832
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A148733
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number | MT233245
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License Number State | PA
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