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General NPI Number Information
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NPI Number | 1790029684
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Entity Type | Organization
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Legal Business Name | ANELIME HEALTH CARE LLC.
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 10640 N 28TH DR STE A101
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City | PHOENIX
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State | AZ
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Zip | 85029-2908
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Country | US
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Telephone | 602-441-3501
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Fax | 602-865-1970
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Provider Business Mailing Address
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Address Line | 9341 E MCKELLIPS RD
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City | MESA
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State | AZ
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Zip | 85207-2632
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Country | US
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Telephone | 520-429-4043
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Fax | 602-865-1970
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARINDER KUMAR TAKYAR
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Credential | M.D.
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Telephone | 520-429-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34308
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License Number State | AZ
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