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General NPI Number Information
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NPI Number | 1003934423
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Entity Type | Individual
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Provider Name | SHRIBALA KUMAR MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 1975 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90806-5501
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Country | US
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Telephone | 562-218-4017
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Fax |
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Provider Business Mailing Address
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Address Line | 43 SILVER SPRING DR
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-2312
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Country | US
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Telephone | 310-375-9328
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A067888
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License Number State | CA
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