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General NPI Number Information
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NPI Number | 1710154109
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Entity Type | Individual
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Provider Name | ANITA BANGALE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 224 ED ENGLISH DR BLDG 1 STE B
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City | SHENANDOAH
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State | TX
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Zip | 77385-8024
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Country | US
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Telephone | 713-581-4895
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Fax |
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Provider Business Mailing Address
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Address Line | 22 SUMMER PRT
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City | SPRING
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State | TX
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Zip | 77381-4270
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Country | US
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Telephone | 817-657-7944
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P2586
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | P2586
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License Number State | TX
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