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General NPI Number Information
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NPI Number | 1932363249
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Entity Type | Organization
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Legal Business Name | ANANT K UTTURKAR
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 100 ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78521
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Country | US
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Telephone | 956-350-7525
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52236
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City | MCALLEN
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State | TX
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Zip | 78505-2236
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Country | US
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Telephone | 956-581-0303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANANT K UTTURKAR
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Credential | M.D.
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Telephone | 956-581-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G2498
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License Number State | TX
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