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General NPI Number Information
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NPI Number | 1780002477
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Entity Type | Individual
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Provider Name | RAJAT BANSAL
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 3901 RAINBOW BLVD
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City | KANSAS CITY
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State | KS
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Zip | 66160-1544
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Country | US
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Telephone | 913-588-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 SHAWNEE MISSION PKWY
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-43281
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License Number State | KS
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