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General NPI Number Information
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NPI Number | 1396163184
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Entity Type | Individual
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Provider Name | NIRMAL BIPINRAI KHANDOOBHAI MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2525 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2140
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Country | US
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Telephone | 704-834-2141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 744786
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City | ATLANTA
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State | GA
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Zip | 30374-4786
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Country | US
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Telephone | 704-834-2450
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Fax | 704-671-5331
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101256858
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License Number State | VA
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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 | 2025-00444
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 174451
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License Number State | NC
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