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General NPI Number Information
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NPI Number | 1154399475
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Entity Type | Individual
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Provider Name | ABHA KUMARI HAVALDAR MD
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Gender | Female
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Dates
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Enumeration Date | 03/11/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2799 N WASHINGTON ST
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City | CHILLICOTHEE
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State | MO
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Zip | 64601-2902
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Country | US
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Telephone | 660-214-8420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8657
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City | SAINT JOSEPH
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State | MO
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Zip | 64508-8657
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Country | US
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Telephone | 816-866-5105
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Fax | 816-207-0454
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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 | 111300
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License Number State | MO
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