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General NPI Number Information
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NPI Number | 1881627669
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Entity Type | Individual
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Provider Name | VANI NADAR MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 1013 N DUPONT SQ SUITE A
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City | LOUISVILLE
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State | KY
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Zip | 40207-4612
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Country | US
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Telephone | 502-896-6166
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Fax | 502-896-6168
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Provider Business Mailing Address
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Address Line | 10303 PLAINS CT
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City | LOUISVILLE
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State | KY
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Zip | 40223-3450
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Country | US
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Telephone | 502-254-7862
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 36216
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License Number State | KY
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