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General NPI Number Information
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NPI Number | 1467750901
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Entity Type | Organization
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Legal Business Name | KAIN KUMAR MD INC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 1415 W ROSAMOND BLVD SUITE 24
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City | ROSAMOND
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State | CA
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Zip | 93560-7429
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Country | US
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Telephone | 661-947-5600
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Fax | 661-947-5900
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Provider Business Mailing Address
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Address Line | 1415 W ROSAMOND BLVD SUITE 24
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City | ROSAMOND
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State | CA
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Zip | 93560-7429
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Country | US
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Telephone | 661-947-5600
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Fax | 661-947-5900
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KAIN KUMAR
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Credential | M.D.
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Telephone | 661-947-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A67882
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License Number State | CA
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