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General NPI Number Information
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NPI Number | 1740431212
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Entity Type | Individual
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Provider Name | ABHISHEK KUMAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 1 S PROSPECT ST UVM MEDICAL CENTER - NEPHROLOGY
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City | BURLINGTON
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State | VT
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Zip | 05401-3456
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Country | US
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Telephone | 802-847-3572
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Fax | 802-847-3607
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Provider Business Mailing Address
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Address Line | 800 HOWARD AVE
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City | NEW HAVEN
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State | CT
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Zip | 06519-1369
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Country | US
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Telephone | 203-785-2585
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Fax | 203-785-7317
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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 | 39534
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125.053928
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License Number State | IL
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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 | 042.0013476
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 55316
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License Number State | CT
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