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General NPI Number Information
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NPI Number | 1841288248
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Entity Type | Individual
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Provider Name | SHIVANI S KAUL M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 2020 N CENTRAL AVE STE 1010
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City | PHOENIX
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State | AZ
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Zip | 85004-4501
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Country | US
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Telephone | 602-553-8400
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Fax | 602-553-8408
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Provider Business Mailing Address
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Address Line | PO BOX 29834
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City | PHOENIX
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State | AZ
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Zip | 85038-9834
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Country | US
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Telephone | 602-553-8400
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Fax | 602-553-8408
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 32748
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License Number State | AZ
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