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General NPI Number Information
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NPI Number | 1942572052
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Entity Type | Organization
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Legal Business Name | NEETA S. POHANI M.D. P.A.
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Dates
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Enumeration Date | 02/04/2012
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Last Update Date | 02/04/2012
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Provider Practice Location Address
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Address Line | 19913 W NEWBERRY RD STE A
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City | NEWBERRY
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State | FL
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Zip | 32669-2181
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Country | US
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Telephone | 352-472-5775
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Fax | 352-472-5761
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Provider Business Mailing Address
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Address Line | 19913 W NEWBERRY RD STE A P.O.BOX 1287
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City | NEWBERRY
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State | FL
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Zip | 32669-2181
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Country | US
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Telephone | 352-472-5775
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Fax | 352-472-5761
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEETA S POHANI
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Credential | M.D.
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Telephone | 352-472-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME80856
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License Number State | FL
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