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General NPI Number Information
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NPI Number | 1750949467
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Entity Type | Individual
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Provider Name | ESHA KAPANIA MD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 1645 W. JACKSON BLVD. SUITE 215
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City | CHICAGO
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State | IL
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Zip | 60612-3276
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Country | US
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Telephone | 312-942-8043
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Fax |
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Provider Business Mailing Address
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Address Line | 550 S JACKSON ST # A3R40
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-852-2840
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125074348
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 57692
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125074348
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License Number State | IL
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