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General NPI Number Information
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NPI Number | 1376501023
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Entity Type | Individual
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Provider Name | KEDARNATH JAVALY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 2914 ELMWOOD AVE SUITE 2
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City | KENMORE
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State | NY
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Zip | 14217-1332
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Country | US
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Telephone | 716-447-6903
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BEECH RD
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City | AMHERST
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State | NY
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Zip | 14226-2330
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Country | US
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Telephone | 917-612-6413
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 164017-1
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License Number State | NY
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