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General NPI Number Information
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NPI Number | 1881865806
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Entity Type | Organization
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Legal Business Name | KIRAN KHEMA NANJI DPM PA
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 2430 JENKS AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4304
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Country | US
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Telephone | 850-763-7244
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Fax | 850-763-0157
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Provider Business Mailing Address
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Address Line | 2430 JENKS AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4304
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Country | US
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Telephone | 850-763-7244
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Fax | 850-763-0157
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. KIRAN KHEMA NANJI
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Credential | DPM
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Telephone | 850-763-7244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO 2252
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License Number State | FL
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