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General NPI Number Information
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NPI Number | 1699102699
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Entity Type | Individual
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Provider Name | MR. PREM S. KALIDINDI
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Gender | Male
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 7267 NOTRE DAME DR STE 1
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City | IRVING
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State | TX
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Zip | 75063-3523
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Country | US
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Telephone | 210-881-0474
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Fax | 210-569-6464
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Provider Business Mailing Address
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Address Line | 7267 NOTRE DAME DR
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City | IRVING
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State | TX
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Zip | 75063-3523
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Country | US
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Telephone | 917-769-8014
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 52701
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License Number State | TX
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