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General NPI Number Information
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NPI Number | 1831417039
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Entity Type | Individual
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Provider Name | ANUJ TEWARI MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 3000 N INTERSTATE 35
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City | DENTON
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State | TX
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Zip | 76201-5119
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Country | US
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Telephone | 817-820-4906
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Fax | 817-820-4815
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Provider Business Mailing Address
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Address Line | 3000 N INTERSTATE 35
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City | DENTON
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State | TX
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Zip | 76201-5119
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Country | US
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Telephone | 817-820-4906
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Fax | 817-820-4815
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 60389136
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q2077
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License Number State | TX
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