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General NPI Number Information
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NPI Number | 1770805483
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Entity Type | Individual
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Provider Name | LEO JOSE KALLARACKEL MBBS MRCPCH FRCR
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Gender | Male
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | 26
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City | BRIDGE COURT, SOUTH HARROW
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State | MIDDLESEX
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Zip | HA2 8FB
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Country | GB
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Telephone | 447863346643
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Fax |
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Provider Business Mailing Address
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Address Line | 26
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City | BRIDGE COURT, SOUTH HARROW
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State | MIDDLESEX
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Zip | HA2 8FB
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Country | GB
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Telephone | 447863346643
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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