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General NPI Number Information
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NPI Number | 1396993028
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Entity Type | Individual
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Provider Name | TUSHAR M KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2008
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | 107 S DIVISION ST
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City | SPOKANE
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State | WA
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Zip | 99202-1510
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Country | US
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Telephone | 509-838-4651
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Fax | 509-363-2762
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Provider Business Mailing Address
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Address Line | 107 S DIVISION ST
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City | SPOKANE
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State | WA
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Zip | 99202-1510
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Country | US
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Telephone | 509-838-4651
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Fax | 509-363-2762
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ML 60018996
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License Number State | WA
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