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General NPI Number Information
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NPI Number | 1093003394
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Entity Type | Individual
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Provider Name | SUMYRA KACHRU M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 10000 W COLONIAL DR STE 289
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 321-841-9025
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Fax | 321-842-3651
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Provider Business Mailing Address
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Address Line | 10000 W COLONIAL DR STE 289
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 321-841-9025
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Fax | 321-842-3651
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 51540
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME152048
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License Number State | FL
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