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General NPI Number Information
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NPI Number | 1326115650
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Entity Type | Individual
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Provider Name | KAMLESH KRISHNA MISTRI PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3031 TATE BLVD SE
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City | HICKORY
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State | NC
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Zip | 28602-1455
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Country | US
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Telephone | 828-322-3343
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Fax | 828-322-6023
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Provider Business Mailing Address
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Address Line | 9935D REA RD STE 324
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City | CHARLOTTE
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State | NC
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Zip | 28277-6710
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Country | US
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Telephone | 980-202-4202
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Fax | 980-580-4749
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-00799
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License Number State | NC
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