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General NPI Number Information
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NPI Number | 1104016617
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Entity Type | Individual
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Provider Name | SURESH NARAYAN KUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 939 E EMERALD AVE STE 610
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City | KNOXVILLE
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State | TN
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Zip | 37917-4569
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Country | US
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Telephone | 865-637-8635
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Fax | 865-637-9882
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Provider Business Mailing Address
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Address Line | 939 E EMERALD AVE STE 610
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City | KNOXVILLE
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State | TN
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Zip | 37917-4569
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Country | US
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Telephone | 865-637-8635
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Fax | 865-637-9882
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MD.203941
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 48630
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License Number State | TN
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