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General NPI Number Information
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NPI Number | 1205983871
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Entity Type | Individual
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Provider Name | ASHOK KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 433 E 7TH ST
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City | FLORA
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State | IL
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Zip | 62839-1805
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Country | US
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Telephone | 618-662-3018
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Fax | 618-662-4188
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Provider Business Mailing Address
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Address Line | 433 E 7TH ST P.O. BOX 40
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City | FLORA
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State | IL
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Zip | 62839-1805
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Country | US
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Telephone | 618-662-3018
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Fax | 618-662-4188
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IL
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