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General NPI Number Information
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NPI Number | 1932373479
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Entity Type | Individual
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Provider Name | AMIT NANAVATI MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PKWY STE 3816
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City | PALM COAST
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State | FL
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Zip | 32164-5982
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Country | US
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Telephone | 386-586-4765
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Fax | 386-586-4769
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Provider Business Mailing Address
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Address Line | 61 MEMORIAL MEDICAL PKWY STE 3816
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City | PALM COAST
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State | FL
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Zip | 32164-5982
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Country | US
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Telephone | 386-586-1720
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Fax | 386-586-5422
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD442447
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME127733
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License Number State | FL
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