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General NPI Number Information
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NPI Number | 1902350655
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Entity Type | Organization
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Legal Business Name | KESTREL HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 94 N MURRAY HILL RD
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City | COLUMBUS
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State | OH
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Zip | 43228-1524
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Country | US
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Telephone | 614-954-5250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | DUBLIN
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State | OH
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Zip | 43017-0828
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RUSTUM A SHAHZAD
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Credential |
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Telephone | 614-954-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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