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General NPI Number Information
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NPI Number | 1629216742
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Entity Type | Organization
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Legal Business Name | VIMI KAPUR M D ANESTH ESIOLOGIST INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 25500 MEDICAL CENTER DR
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City | MURRIETA
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State | CA
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Zip | 92562-5965
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Country | US
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Telephone | 951-677-3010
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Fax | 951-677-3168
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Provider Business Mailing Address
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Address Line | 25470 MEDICAL CENTER DR SUITE 206
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City | MURRIETA
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State | CA
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Zip | 92562-4900
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Country | US
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Telephone | 951-677-3010
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Fax | 951-677-3168
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIMI KAPUR
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Credential | MD
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Telephone | 951-677-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A105170
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License Number State | CA
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