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General NPI Number Information
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NPI Number | 1477650513
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Entity Type | Organization
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Legal Business Name | B.K. KHANDELWAL M.D ASSOCIATES
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 2301 W MICHIGAN AVE
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City | MIDLAND
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State | TX
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Zip | 79701-5829
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Country | US
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Telephone | 432-684-0941
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Fax | 432-570-5600
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Provider Business Mailing Address
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Address Line | 2301 W MICHIGAN AVE
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City | MIDLAND
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State | TX
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Zip | 79701-5829
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Country | US
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Telephone | 432-684-0941
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Fax | 432-570-5600
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Authorized Official
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Title or Position | OWNER
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Name | DR. BAL K. KHANDELWAL
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Credential | M.D.
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Telephone | 432-684-0941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | E9266
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License Number State | TX
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