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General NPI Number Information
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NPI Number | 1154584043
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Entity Type | Individual
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Provider Name | KISHAN J. KAPADIA D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 110 S PACA ST 6TH FLOOR, SUITE 200
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 410-328-8025
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Fax | 410-328-8028
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Provider Business Mailing Address
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Address Line | 9388 ROCK RIPPLE LN
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City | LAUREL
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State | MD
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Zip | 20723-5942
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Country | US
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Telephone | 301-776-6486
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MB08295200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | H0074093
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License Number State | MD
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