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General NPI Number Information
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NPI Number | 1487795019
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Entity Type | Organization
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Legal Business Name | NIRUPAMA TALWALKAR
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3001 W ILLINOIS AVE SUITE 3B1
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City | MIDLAND
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State | TX
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Zip | 79701-3180
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Country | US
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Telephone | 432-296-2180
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Fax | 432-368-4167
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Provider Business Mailing Address
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Address Line | 3843 PENBROOK ST # 52
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City | ODESSA
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State | TX
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Zip | 79762-6152
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Country | US
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Telephone | 432-368-4167
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Fax | 432-368-4167
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIRUPAMA TALWALKAR
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Credential | M.D.
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Telephone | 432-288-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | L3494
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License Number State | TX
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