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General NPI Number Information
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NPI Number | 1366609281
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Entity Type | Organization
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Legal Business Name | G K KUMAR MD PC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 1615 W BIG BEAVER RD BLDG A
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City | TROY
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State | MI
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Zip | 48084-3539
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Country | US
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Telephone | 248-649-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 W BIG BEAVER RD BLDG A
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City | TROY
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State | MI
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Zip | 48084-3539
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Country | US
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Telephone | 248-649-2004
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Fax |
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Authorized Official
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Title or Position | DR
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Name | G KRISHNA KUMAR
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Credential | MD
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Telephone | 248-649-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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