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General NPI Number Information
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NPI Number | 1467542431
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Entity Type | Organization
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Legal Business Name | KUMARAPILLAI NARENDRAN MD PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 3712 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1312
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Country | US
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Telephone | 806-795-5561
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Fax | 806-687-7792
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Provider Business Mailing Address
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Address Line | 3712 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1312
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Country | US
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Telephone | 806-795-5561
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Fax | 806-687-7792
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DENISE WALKER
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Credential |
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Telephone | 806-795-5561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | F3564
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License Number State | TX
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