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General NPI Number Information
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NPI Number | 1427082486
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Entity Type | Individual
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Provider Name | KIZHAKE C KURIAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PARKWAY 3808
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City | PALM COAST
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State | FL
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Zip | 32164
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Country | US
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Telephone | 386-586-1930
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Fax | 386-586-1931
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Provider Business Mailing Address
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Address Line | 61 MEMORIAL MEDICAL PARKWAY 3808
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City | PALM COAST
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State | FL
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Zip | 32164
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Country | US
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Telephone | 386-586-1930
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Fax | 386-586-1931
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A77792
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License Number State | CA
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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 | ME 88287
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 80336
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M8775
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 064130
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License Number State | GA
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