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General NPI Number Information
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NPI Number | 1861667412
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Entity Type | Organization
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Legal Business Name | JAMAL KALALA, MD, PLLC
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 225 NC HIGHWAY 16 S
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-3048
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Country | US
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Telephone | 828-632-1234
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Fax | 828-632-8794
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Provider Business Mailing Address
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Address Line | 225 NC HIGHWAY 16 S
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-3048
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Country | US
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Telephone | 828-632-1234
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Fax | 828-632-8794
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMAL M KALALA
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Credential | M.D.
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Telephone | 828-632-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35149
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License Number State | NC
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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 | 35149
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License Number State | NC
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