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General NPI Number Information
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NPI Number | 1508915216
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Entity Type | Individual
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Provider Name | SANJAY KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1319 S. GLENBURNIE BLVD. SUITE D
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City | NEW BERN
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State | NC
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Zip | 28562
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Country | US
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Telephone | 252-635-1699
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Fax | 252-635-9599
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Provider Business Mailing Address
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Address Line | PO BOX 13727
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City | NEW BERN
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State | NC
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Zip | 28561-3727
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Country | US
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Telephone | 252-635-1699
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Fax | 252-635-9599
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number |
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License Number State | NC
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