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General NPI Number Information
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NPI Number | 1699724435
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Entity Type | Individual
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Provider Name | ASHOK KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 2215 HILL CHURCH HOUSTON RD SUITE # 3A
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City | CANONSBURG
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State | PA
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Zip | 15317-1470
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Country | US
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Telephone | 724-746-3110
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 HILL CHURCH HOUSTON RD SUITE # 3
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City | CANONSBURG
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State | PA
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Zip | 15317-1470
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Country | US
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Telephone | 724-746-3110
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD018606E
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License Number State | PA
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