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General NPI Number Information
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NPI Number | 1548581820
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Entity Type | Organization
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Legal Business Name | H N KUMARA, MD PA
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 102 PALO ALTO RD SUITE 133
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3758
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Country | US
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Telephone | 210-921-2011
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Fax | 210-590-6997
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Provider Business Mailing Address
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Address Line | 102 PALO ALTO RD SUITE 133
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3758
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Country | US
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Telephone | 210-921-2011
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Fax | 210-590-6997
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Authorized Official
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Title or Position | OWNER
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Name | DR. HALEKOTE N KUMARA
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Credential | MD
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Telephone | 210-921-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | E5397
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License Number State | TX
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