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General NPI Number Information
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NPI Number | 1659179935
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Entity Type | Individual
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Provider Name | ANH DU
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2080 MEADOWLAND PARK BLVD
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City | LAKELAND
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State | FL
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Zip | 33803-4326
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Country | US
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Telephone | 863-701-2470
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Fax |
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Provider Business Mailing Address
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Address Line | 3470 14TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-5426
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Country | US
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Telephone | 727-244-9908
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Fax |
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 004836
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License Number State | FL
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