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General NPI Number Information
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NPI Number | 1710226568
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Entity Type | Individual
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Provider Name | NISHA IYER KUMAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2013
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 200 BOWMAN DR STE E385 BACK
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-840-4535
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Fax | 856-762-2853
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Provider Business Mailing Address
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Address Line | 7000 ATRIUM WAY SUITE 6
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054
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Country | US
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Telephone | 856-291-6818
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Fax | 856-291-6819
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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 | 25MA9273000
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License Number State | NJ
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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 | 25MA09273000
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License Number State | NJ
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