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General NPI Number Information
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NPI Number | 1659569911
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Entity Type | Individual
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Provider Name | NAVEEN KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 01/25/2015
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Provider Practice Location Address
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Address Line | 120 W CALLE DE LAS TIENDAS
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-4326
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Country | US
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Telephone | 520-648-9888
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Fax | 520-648-9899
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Provider Business Mailing Address
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Address Line | 120 W CALLE DE LAS TIENDAS
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-4326
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Country | US
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Telephone | 520-648-9888
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Fax | 520-648-9899
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37620
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License Number State | AZ
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