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General NPI Number Information
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NPI Number | 1801961420
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Entity Type | Individual
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Provider Name | ANJUM MOBIN MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 6601 CENTRAL FLORIDA PKWY
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City | ORLANDO
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State | FL
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Zip | 32821-8064
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Country | US
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Telephone | 407-264-7551
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Fax | 407-264-7748
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Provider Business Mailing Address
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Address Line | 6601 CENTRAL FLORIDA PKWY
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City | ORLANDO
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State | FL
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Zip | 32821-8064
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Country | US
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Telephone | 407-264-7551
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Fax | 407-264-7748
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60881570
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2019010172
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD187254
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 197-320
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 64265
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | R8945
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME92241
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License Number State | FL
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