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General NPI Number Information
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NPI Number | 1275663155
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Entity Type | Organization
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Legal Business Name | SHARDA KAUL, M.D., P.C.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 MERRIMACK ST SUITE 101 A
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City | METHUEN
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State | MA
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Zip | 01844-5864
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Country | US
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Telephone | 978-685-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 421 MERRIMACK ST SUITE 101 A
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City | METHUEN
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State | MA
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Zip | 01844-5864
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Country | US
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Telephone | 978-685-7111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARDA KAUL
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Credential | M.D.
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Telephone | 978-685-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 151784
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License Number State | MA
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