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General NPI Number Information
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NPI Number | 1770741746
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Entity Type | Individual
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Provider Name | ANAND DUTTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2350 FREEDOM WAY STE 200
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City | YORK
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State | PA
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Zip | 17402-8200
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Country | US
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Telephone | 717-812-5120
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Fax | 717-741-3075
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Provider Business Mailing Address
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Address Line | 516 S LUZERNE AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-3715
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Country | US
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Telephone | 410-440-3179
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D68601
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD461762
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License Number State | PA
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