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General NPI Number Information
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NPI Number | 1184657611
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Entity Type | Individual
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Provider Name | DINESH P KOIRALA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 1900 COLUMBUS AVE
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City | BAY CITY
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State | MI
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Zip | 48708-6880
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Country | US
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Telephone | 989-894-3077
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Fax | 989-894-6138
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Provider Business Mailing Address
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Address Line | PO BOX 660857
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City | DALLAS
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State | TX
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Zip | 75266-0857
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Country | US
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Telephone | 855-709-4498
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Fax | 302-733-0854
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301039279
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License Number State | MI
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