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General NPI Number Information
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NPI Number | 1861490955
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Entity Type | Individual
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Provider Name | KAMALA P TAMIRISA MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 11970 N CENTRAL EXPY STE 540
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City | DALLAS
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State | TX
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Zip | 75243-3768
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Country | US
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Telephone | 972-566-4822
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Fax | 972-566-4170
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Provider Business Mailing Address
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Address Line | 11970 N CENTRAL EXPY STE 540
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City | DALLAS
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State | TX
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Zip | 75243-3768
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Country | US
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Telephone | 972-566-4822
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 35087019
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.087019
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301077376
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 4301077376
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License Number State | MI
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