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General NPI Number Information
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NPI Number | 1710353065
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Entity Type | Individual
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Provider Name | ANASUYABEN DAHYALAL JANI NP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 18422 ARLINE AVE APT 3
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City | ARTESIA
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State | CA
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Zip | 90701
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Country | US
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Telephone | 337-400-6545
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Fax |
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Provider Business Mailing Address
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Address Line | 18422 ARLINE AVE APT#3
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City | ARTESIA
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State | CA
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Zip | 90701-5788
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Country | US
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Telephone | 562-809-1408
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 793448
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95003730
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License Number State | CA
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