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General NPI Number Information
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NPI Number | 1942772330
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Entity Type | Organization
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Legal Business Name | DHANVAN LLC
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 12/22/2018
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Provider Practice Location Address
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Address Line | 1600 S ANDREWS AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2510
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Country | US
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Telephone | 954-355-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 10315 USA TODAY WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3902
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Country | US
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Telephone | 954-474-4704
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Fax | 954-587-8686
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Authorized Official
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Title or Position | CEO
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Name | SUNIL KUMAR
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Credential | MD
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Telephone | 954-474-4704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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