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General NPI Number Information
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NPI Number | 1922082130
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Entity Type | Individual
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Provider Name | NED JOHN PANARA MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3830 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-1105
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Country | US
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Telephone | 863-519-9020
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Fax | 863-519-0904
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Provider Business Mailing Address
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Address Line | 3830 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-1105
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Country | US
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Telephone | 863-519-0902
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Fax | 863-519-0904
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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 | 036156727
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01097251A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 67241
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.129742
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 2025022751
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME70375
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License Number State | FL
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