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General NPI Number Information
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NPI Number | 1891911269
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Entity Type | Organization
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Legal Business Name | ANILA C. THAMPY, M.D., INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 1660 E HERNDON AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-3359
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Country | US
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Telephone | 559-437-9024
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Fax | 559-437-0431
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Provider Business Mailing Address
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Address Line | 1660 E HERNDON AVE SUITE 102
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City | FRESNO
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State | CA
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Zip | 93720-3359
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Country | US
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Telephone | 559-437-9024
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Fax | 559-437-0431
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANILA THAMPY
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Credential | M.D.
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Telephone | 559-284-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | A48322
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License Number State | CA
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