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General NPI Number Information
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NPI Number | 1063517746
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Entity Type | Individual
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Provider Name | ADARSH A KUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 2040 TIMBERBROOKE DRIVE
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City | SPRINGFIELD
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State | IL
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Zip | 62702
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Country | US
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Telephone | 217-787-2511
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Fax | 217-787-2513
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Provider Business Mailing Address
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Address Line | 2040 TIMBERBROOKE DRIVE DERMATOLOGY & SKIN SURGERY
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City | SPRINGFIELD
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State | IL
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Zip | 62702
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Country | US
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Telephone | 217-787-2511
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Fax | 217-787-2513
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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 | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 036044781
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207NI0002X
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Taxonomy Name | Clinical & Laboratory Dermatological Immunology Physician
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License Number | 036044781
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 036044781
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3644781
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License Number State | IL
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