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General NPI Number Information
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NPI Number | 1609902469
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Entity Type | Organization
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Legal Business Name | NARINDER KUMAR DBA BETTENDORF PEDIATRIC & FAMILY PRACTICE ASSOC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 4017 DEVILS GLEN RD STE 200
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City | BETTENDORF
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State | IA
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Zip | 52722-7221
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Country | US
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Telephone | 563-332-3400
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Fax | 563-332-4784
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Provider Business Mailing Address
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Address Line | 4017 DEVILS GLEN RD STE 200
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City | BETTENDORF
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State | IA
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Zip | 52722-7221
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Country | US
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Telephone | 563-332-3400
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Fax | 563-332-4784
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NARINDER KUMAR
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Credential | MD
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Telephone | 563-332-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30076
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 29998
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License Number State | IA
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