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General NPI Number Information
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NPI Number | 1346173606
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Entity Type | Organization
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Legal Business Name | KISANA MEDICAL PLLC
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 12046 E BLUEBIRD DR
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City | CHANDLER
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State | AZ
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Zip | 85286-1905
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Country | US
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Telephone | 480-200-4354
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Fax |
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Provider Business Mailing Address
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Address Line | 12046 E BLUEBIRD DR
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City | CHANDLER
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State | AZ
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Zip | 85286-1905
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Country | US
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Telephone | 480-200-4354
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HAROON KISANA
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Credential |
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Telephone | 480-200-4354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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