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General NPI Number Information
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NPI Number | 1144490822
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Entity Type | Organization
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Legal Business Name | NIRMAL KUMAR, M.D., INC., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1350 N. ALTADENA DR. SUITE 100
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City | PASADENA
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State | CA
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Zip | 91107-1488
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Country | US
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Telephone | 626-798-8400
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Fax | 626-798-7617
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Provider Business Mailing Address
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Address Line | 1350 N. ALTADENA DR. SUITE 100
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City | PASADENA
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State | CA
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Zip | 91107-1488
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Country | US
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Telephone | 626-798-8400
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Fax | 626-798-7617
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NIRMAL KUMAR
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Credential | M.D.
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Telephone | 626-798-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A29459
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License Number State | CA
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