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General NPI Number Information
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NPI Number | 1295938496
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Entity Type | Individual
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Provider Name | SANJAY KUMAR M.D
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 1102 E CHESTNUT AVE
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City | VINELAND
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State | NJ
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Zip | 08360-5002
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Country | US
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Telephone | 856-213-6375
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Fax | 856-575-4986
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Provider Business Mailing Address
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Address Line | 2848 S DELSEA DR SUITE 4B
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City | VINELAND
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State | NJ
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Zip | 08360-7042
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Country | US
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Telephone | 856-205-7070
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA08084100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 25MA08084100
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License Number State | NJ
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