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General NPI Number Information
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NPI Number | 1780938928
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Entity Type | Organization
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Legal Business Name | ANTHONY D. PANASCI MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 25880 TOURNAMENT RD #222
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City | VALENCIA
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State | CA
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Zip | 91355-2349
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Country | US
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Telephone | 661-254-0720
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Fax | 661-254-0860
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Provider Business Mailing Address
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Address Line | 25880 TOURNAMENT RD #222
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City | VALENCIA
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State | CA
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Zip | 91355-2349
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Country | US
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Telephone | 661-254-0720
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Fax | 661-254-0860
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANTHONY PANASCI
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Credential | MD
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Telephone | 661-254-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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