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General NPI Number Information
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NPI Number | 1861305401
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Entity Type | Organization
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Legal Business Name | ENVISION PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 114 GREENWOOD ST SW
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City | AIKEN
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State | SC
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Zip | 29801-3767
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Country | US
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Telephone | 330-503-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 114 GREENWOOD ST SW
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City | AIKEN
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State | SC
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Zip | 29801-3767
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Country | US
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Telephone | 330-503-4545
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Fax |
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Authorized Official
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Title or Position | MEMBER OF LLC
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Name | DR. PREETINDER K KALEKA
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Credential | MD
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Telephone | 330-503-4545
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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