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General NPI Number Information
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NPI Number | 1124258892
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Entity Type | Organization
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Legal Business Name | SHARAD KULKARNI M.D. PA
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 2825 INTERSTATE 10 E STE 100
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City | BEAUMONT
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State | TX
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Zip | 77702-1015
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Country | US
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Telephone | 409-835-7401
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Fax | 409-835-7405
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Provider Business Mailing Address
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Address Line | 2825 INTERSTATE 10 E STE 100
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City | BEAUMONT
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State | TX
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Zip | 77702-1015
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Country | US
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Telephone | 409-835-7401
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Fax | 409-835-7405
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHWETA KULKARNI
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Credential |
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Telephone | 409-835-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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