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General NPI Number Information
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NPI Number | 1508832007
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Entity Type | Organization
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Legal Business Name | VIJAY V KAMDAR, MD, INC
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 11411 BROOKSHIRE AVE STE 501
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City | DOWNEY
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State | CA
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Zip | 90241-5007
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Country | US
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Telephone | 562-861-5533
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Fax | 562-861-5535
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Provider Business Mailing Address
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Address Line | PO BOX 3279
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City | PALOS VERDES PENNINSULA
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State | CA
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Zip | 90274-9279
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Country | US
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Telephone | 562-861-5533
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Fax | 562-861-5535
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Authorized Official
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Title or Position | OWNER
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Name | VIJAY V KAMDAR
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Credential | MD
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Telephone | 310-632-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A39486
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A39486
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License Number State | CA
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