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General NPI Number Information
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NPI Number | 1104045970
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Entity Type | Individual
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Provider Name | VISHAL ARNE CHANDRA D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/25/2013
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Provider Practice Location Address
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Address Line | 5721 W 119TH ST MENORAH MEDICAL CENTER,
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City | OVERLAND PARK
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State | KS
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Zip | 66209-3722
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Country | US
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Telephone | 913-498-7307
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Fax |
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Provider Business Mailing Address
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Address Line | 8717 WEST 119TH STREET SUITE 600
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City | OVERLAND PARK
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State | KS
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Zip | 66210
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Country | US
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Telephone | 913-428-2900
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Fax | 913-428-2951
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 05-34840
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 946257
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License Number State | KS
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