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General NPI Number Information
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NPI Number | 1720752470
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Entity Type | Organization
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Legal Business Name | AVINASH L. JADHAV MD, PA
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 17222 HOSPITAL BLVD STE 322
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City | BROOKSVILLE
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State | FL
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Zip | 34601-8925
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Country | US
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Telephone | 352-565-5999
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Fax | 352-565-4449
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | LECANTO
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State | FL
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Zip | 34460-0333
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Country | US
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Telephone | 352-565-5999
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | AVINASH JADHAV
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Credential | MD
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Telephone | 352-565-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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