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General NPI Number Information
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NPI Number | 1649273756
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Entity Type | Individual
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Provider Name | ANASTAS NENOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 7800 SHERIDAN ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-2536
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Country | US
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Telephone | 954-962-9650
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Fax | 954-437-6628
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Provider Business Mailing Address
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Address Line | 500 N HIATUS RD STE 200
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-5213
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Country | US
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Telephone | 954-437-4800
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Fax | 954-437-6628
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME88663
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License Number State | FL
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