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General NPI Number Information
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NPI Number | 1063862860
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Entity Type | Organization
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Legal Business Name | ANITA KUMARI, MD INC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 1560 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-5648
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Country | US
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Telephone | 650-919-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 SANTA RITA RD
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City | PLEASANTON
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State | CA
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Zip | 94566-5648
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Country | US
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Telephone | 650-919-3040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANITA KUMARI
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Credential | M.D.
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Telephone | 650-919-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A137447
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License Number State | CA
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