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General NPI Number Information
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NPI Number | 1154725778
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Entity Type | Individual
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Provider Name | KUMAR JAIRAMDAS DNP,ARNP,FNP-C,ENP-C
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Gender | Male
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 2020 TOWN CENTER BLVD STE B
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City | BRANDON
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State | FL
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Zip | 33511
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Country | US
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Telephone | 813-677-8418
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Fax | 813-377-1686
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Provider Business Mailing Address
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Address Line | 12909 CINNIMON PL
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City | TAMPA
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State | FL
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Zip | 33624-4504
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Country | US
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Telephone | 813-300-7813
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9246190
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License Number State | FL
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