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General NPI Number Information
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NPI Number | 1982806857
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Entity Type | Organization
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Legal Business Name | JANET ANDERSON MD PA
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 777 37TH ST STE C105
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City | VERO BEACH
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State | FL
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Zip | 32960-7301
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Country | US
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Telephone | 772-794-7791
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Fax | 772-794-7794
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Provider Business Mailing Address
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Address Line | 777 37TH ST STE C105
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City | VERO BEACH
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State | FL
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Zip | 32960-7301
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Country | US
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Telephone | 772-794-7791
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Fax | 772-794-7794
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JANET ANDERSON
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Credential |
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Telephone | 772-794-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0061810
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License Number State | FL
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