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General NPI Number Information
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NPI Number | 1730305814
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Entity Type | Individual
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Provider Name | ANJALI SARKAR BERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1324 GLORIETTA BLVD
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City | CORONADO
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State | CA
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Zip | 92118-2311
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Country | US
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Telephone | 619-435-3468
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Fax | 619-435-8248
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Provider Business Mailing Address
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Address Line | 1324 GLORIETTA BLVD
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City | CORONADO
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State | CA
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Zip | 92118-2311
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Country | US
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Telephone | 619-435-3468
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Fax | 619-435-8248
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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 | A39248
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License Number State | CA
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