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General NPI Number Information
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NPI Number | 1487702718
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Entity Type | Organization
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Legal Business Name | A & S KHANDELWAL MD INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST STE 2F
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City | MEDINA
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State | OH
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Zip | 44256-2181
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Country | US
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Telephone | 330-723-7999
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Fax | 330-764-9907
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Provider Business Mailing Address
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Address Line | 970 E WASHINGTON ST STE 2F
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City | MEDINA
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State | OH
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Zip | 44256-2181
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Country | US
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Telephone | 330-723-7999
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Fax | 330-764-9907
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANAND V KHANDELWAL
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Credential | M.D.
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Telephone | 330-723-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 051224K
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35-054767K
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License Number State | OH
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