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General NPI Number Information
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NPI Number | 1710168323
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Entity Type | Individual
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Provider Name | SHERU K KANSAL MD
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Gender | Male
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 25301 EUCLID AVE STE 201
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City | EUCLID
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State | OH
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Zip | 44117-2609
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Country | US
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Telephone | 216-261-6263
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Fax | 216-261-4964
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Provider Business Mailing Address
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Address Line | 25301 EUCLID AVE STE 201
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City | EUCLID
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State | OH
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Zip | 44117-2609
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Country | US
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Telephone | 216-261-6263
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Fax | 216-261-4964
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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 | MD432432
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD432432
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35.094825
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License Number State | OH
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