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General NPI Number Information
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NPI Number | 1841258449
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Entity Type | Individual
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Provider Name | NAKECHAND R POORAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY UNIVERISY OF FLORIDA
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City | GAINESVILLE
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State | FL
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Zip | 32610-0214
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Country | US
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Telephone | 352-273-9472
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Fax | 352-627-9002
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Provider Business Mailing Address
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Address Line | DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY UNIVERISY OF FLORIDA, PO BOX 100214
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City | GAINESVILLE
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State | FL
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Zip | 32610-0214
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Country | US
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Telephone | 352-273-9472
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Fax | 352-627-9002
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME120153
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License Number State | FL
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