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General NPI Number Information
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NPI Number | 1619931409
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Entity Type | Individual
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Provider Name | HARINATH SHEELA MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 100 N DEAN RD SUITE101
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City | ORLANDO
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State | FL
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Zip | 32825-3710
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Country | US
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Telephone | 407-384-7388
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Fax | 407-384-7391
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Provider Business Mailing Address
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Address Line | PO BOX 677938
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City | ORLANDO
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State | FL
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Zip | 32867-7938
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Country | US
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Telephone | 407-384-7388
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Fax | 407-384-7391
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME93637
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License Number State | FL
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