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General NPI Number Information
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NPI Number | 1588659247
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Entity Type | Individual
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Provider Name | SANJIV M KAUL DO
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 840 S AKERS ST
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City | VISALIA
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State | CA
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Zip | 93277-8309
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Country | US
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Telephone | 559-624-3710
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Fax | 559-635-4001
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Provider Business Mailing Address
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Address Line | PO BOX 6098
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City | VISALIA
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State | CA
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Zip | 93290-6098
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Country | US
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Telephone | 559-802-3635
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Fax |
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 20A11357
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License Number State | CA
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