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General NPI Number Information
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NPI Number | 1790983377
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Entity Type | Organization
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Legal Business Name | INDAR M. JHAMB, M.D.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1217 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3383
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Country | US
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Telephone | 270-782-3237
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Fax | 270-782-1412
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Provider Business Mailing Address
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Address Line | 1217 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3383
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Country | US
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Telephone | 270-782-3237
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Fax | 270-782-1412
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. INDAR MOHAN JHAMB
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Credential | M.D.
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Telephone | 270-782-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 20856
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License Number State | KY
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