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General NPI Number Information
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NPI Number | 1780836346
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Entity Type | Organization
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Legal Business Name | SANJIV R. KUMAR
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 927 E MAIN ST
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City | UVALDE
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State | TX
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Zip | 78801-4855
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Country | US
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Telephone | 830-278-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 927 E MAIN ST
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City | UVALDE
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State | TX
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Zip | 78801-4855
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Country | US
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Telephone | 830-278-2020
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RENEE LARSON
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Credential |
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Telephone | 210-615-8927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | MDJ9141
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License Number State | TX
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