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General NPI Number Information
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NPI Number | 1588629323
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Entity Type | Individual
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Provider Name | TAPAN KUMAR NATH MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 9812 SLIDE RD
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City | LUBBOCK
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State | TX
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Zip | 79424-5781
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Country | US
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Telephone | 806-725-1000
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Fax | 806-723-8491
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Provider Business Mailing Address
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Address Line | 3420 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1314
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Country | US
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Telephone | 806-725-8844
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Fax | 806-723-6532
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L7497
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20020233
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License Number State | NM
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