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General NPI Number Information
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NPI Number | 1609104140
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Entity Type | Organization
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Legal Business Name | LINGAM V KUMAR MD SC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 3267 S 16TH ST SUITE #104
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City | MILWAUKEE
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State | WI
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Zip | 53215-4500
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Country | US
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Telephone | 414-643-8500
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Fax | 414-647-5869
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Provider Business Mailing Address
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Address Line | 3267 S 16TH ST SUITE #104
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City | MILWAUKEE
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State | WI
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Zip | 53215-4500
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Country | US
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Telephone | 414-643-8500
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Fax | 414-647-5869
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINGAM V KUMAR
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Credential |
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Telephone | 414-643-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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