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General NPI Number Information
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NPI Number | 1982959243
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Entity Type | Organization
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Legal Business Name | ANNAPOORANI THENAPPAN MD INC
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 1701 E CESAR E CHAVEZ AVE # 128
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City | LOS ANGELES
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State | CA
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Zip | 90033-2464
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Country | US
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Telephone | 323-223-2338
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Fax | 323-225-2340
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Provider Business Mailing Address
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Address Line | 1701 E CESAR E CHAVEZ AVE # 128
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City | LOS ANGELES
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State | CA
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Zip | 90033-2464
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Country | US
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Telephone | 323-223-2338
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Fax | 323-225-2340
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNAPOORANI THENAPPAN
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Credential | M.D
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Telephone | 323-223-2338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A63969
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License Number State | CA
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