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General NPI Number Information
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NPI Number | 1639161847
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Entity Type | Individual
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Provider Name | HARISH K PANICKER MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 5301 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1149
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Country | US
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Telephone | 561-965-7300
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Fax | 855-326-7147
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Provider Business Mailing Address
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Address Line | 1303 SW FIRST AMERICAN PL
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City | TOPEKA
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State | KS
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Zip | 66604-4059
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Country | US
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Telephone | 785-234-2306
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Fax | 785-234-2550
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 4301072396
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 26108
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 04-33832
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301072396
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME149643
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 1016923
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 04-33832
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License Number State | KS
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