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General NPI Number Information
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NPI Number | 1083843346
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Entity Type | Individual
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Provider Name | KIRAN S CHOUDHRY MD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 402 N KEENE ST STE 101
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City | COLUMBIA
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State | MO
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Zip | 65201-6986
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Country | US
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Telephone | 573-882-6921
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Fax | 573-882-1154
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Provider Business Mailing Address
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Address Line | PO BOX 7687
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City | COLUMBIA
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State | MO
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Zip | 65205-7687
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Country | US
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Telephone | 573-882-6921
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Fax | 573-884-8823
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 202520
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License Number State | LA
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