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General NPI Number Information
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NPI Number | 1477906618
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Entity Type | Individual
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Provider Name | UDIT DHAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 4320 WORNALL RD STE 440
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City | KANSAS CITY
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State | MO
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Zip | 64111-3235
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Country | US
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Telephone | 816-932-0150
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Fax | 816-932-0151
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Provider Business Mailing Address
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Address Line | 4320 WORNALL RD STE 440
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City | KANSAS CITY
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State | MO
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Zip | 64111-3235
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Country | US
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Telephone | 816-932-0150
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Fax | 816-932-0151
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2022049472
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License Number State | MO
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