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General NPI Number Information
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NPI Number | 1821398652
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Entity Type | Individual
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Provider Name | MURUGA ANAND LOGANATHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-8899
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Fax | 214-456-5986
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-5347
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Country | US
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Telephone | 214-645-0624
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Fax | 214-456-5986
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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 | MT194787
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License Number State | PA
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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 | T6627
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License Number State | TX
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