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General NPI Number Information
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NPI Number | 1396768958
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Entity Type | Individual
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Provider Name | SHANTHA KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 99 S GOLD DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5035
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Country | US
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Telephone | 480-962-0101
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Fax | 480-962-0202
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Provider Business Mailing Address
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Address Line | 99 S GOLD DR
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-5030
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Country | US
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Telephone | 480-962-0101
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Fax | 480-962-0202
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 23951
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 23951
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License Number State | AZ
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