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General NPI Number Information
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NPI Number | 1710933320
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Entity Type | Individual
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Provider Name | KAMRUL I KASHEM MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 10/02/2020
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Provider Practice Location Address
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Address Line | 501 SUNSET LN
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City | CULPEPER
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State | VA
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Zip | 22701-3917
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Country | US
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Telephone | 540-829-4100
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 414768 LOCK BOX
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City | BOSTON
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State | MA
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Zip | 02241-4768
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Country | US
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Telephone | 781-937-4556
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Fax | 781-937-6455
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101239369
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License Number State | VA
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