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General NPI Number Information
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NPI Number | 1902086028
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Entity Type | Organization
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Legal Business Name | T.M. KALRA, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 520 SUPERIOR AVE SUITE 295
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3627
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Country | US
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Telephone | 949-645-1967
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Fax | 949-645-1346
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Provider Business Mailing Address
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Address Line | 520 SUPERIOR AVE SUITE 295
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3627
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Country | US
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Telephone | 949-645-1967
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Fax | 949-645-1346
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | TEJINDER M KALRA
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Credential | M.D.
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Telephone | 949-645-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A42400
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License Number State | CA
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