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General NPI Number Information
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NPI Number | 1669583944
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Entity Type | Individual
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Provider Name | ANURAG MISHRA MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 6800 SMOKETREE TRL
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City | DENTON
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State | TX
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Zip | 76208-7372
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Country | US
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Telephone | 630-847-8384
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Fax | 877-334-1352
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Provider Business Mailing Address
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Address Line | 6800 SMOKETREE TRL
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City | DENTON
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State | TX
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Zip | 76208-7372
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Country | US
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Telephone | 630-847-8384
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Fax | 877-334-1352
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 28283
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N5249
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0425612
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License Number State | KS
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