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General NPI Number Information
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NPI Number | 1487974267
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Entity Type | Individual
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Provider Name | NRIPESH PRADHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 421 CHESTNUT ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1227
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Country | US
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Telephone | 812-492-5202
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Fax | 812-450-8102
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | EVANSVILLE
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State | IN
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Zip | 47706-1510
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Country | US
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Telephone | 812-450-6879
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Fax | 812-450-8102
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 01078589A
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License Number State | IN
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