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General NPI Number Information
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NPI Number | 1346401221
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Entity Type | Individual
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Provider Name | AASTHA KALRA DO
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 04/25/2020
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Provider Practice Location Address
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Address Line | 4500 SAN PABLO RD S
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City | JACKSONVILLE
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State | FL
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Zip | 32224-1865
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Country | US
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Telephone | 904-953-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 89 RIVER ST
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2415
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Country | US
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Telephone | 914-266-0321
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS12355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 259769
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License Number State | NY
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