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General NPI Number Information
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NPI Number | 1992708382
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Entity Type | Individual
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Provider Name | MRANALI S SAWARDEKAR D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 3586 ALOMA AVE SUITE 2
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City | WINTER PARK
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State | FL
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Zip | 32792-4010
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Country | US
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Telephone | 407-677-4769
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Fax | 407-677-4775
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Provider Business Mailing Address
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Address Line | 8115 CRUSHED PEPPER AVE
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City | ORLANDO
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State | FL
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Zip | 32817-2319
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Country | US
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Telephone | 407-677-4769
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Fax | 407-677-4775
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS9823
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License Number State | FL
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