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General NPI Number Information
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NPI Number | 1356455984
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Entity Type | Individual
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Provider Name | GEETHA KUMAR M.D.,
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1695 REMSEN AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-5233
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Country | US
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Telephone | 718-531-6911
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Fax | 718-531-6916
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Provider Business Mailing Address
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Address Line | 2510 JODY CT
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1921
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Country | US
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Telephone | 516-679-8628
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Fax | 718-531-6916
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 146832
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License Number State | NY
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