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General NPI Number Information
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NPI Number | 1811952443
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Entity Type | Individual
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Provider Name | ANANTHI RATHINAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 10931 DYLAN LOREN CIR UNIT A
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City | ORLANDO
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State | FL
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Zip | 32825
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Country | US
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Telephone | 407-218-4444
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Fax | 321-284-1514
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Provider Business Mailing Address
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Address Line | 10931 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4449
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Country | US
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Telephone | 407-218-4444
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Fax | 321-284-1514
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME94141
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | ME94141
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License Number State | FL
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