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General NPI Number Information
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NPI Number | 1700812823
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Entity Type | Individual
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Provider Name | HARSHAVARDHAN L DALAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 9731 PRAIRIE AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-3616
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Country | US
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Telephone | 219-922-4900
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Fax | 219-836-9922
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Provider Business Mailing Address
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Address Line | 9731 PRAIRIE AVE
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City | HIGHLAND
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State | IN
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Zip | 46322-3616
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Country | US
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Telephone | 219-922-4900
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Fax | 219-836-9922
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036054886
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 01029392A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 036054886
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01029392A
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License Number State | IN
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