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General NPI Number Information
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NPI Number | 1912291642
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Entity Type | Individual
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Provider Name | VIVEK KALIA M.D., M.P.H., M.S.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2011
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 2222 WELBORN ST
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 WELBORN ST
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City | DALLAS
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State | TX
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Zip | 75219-3924
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Country | US
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Telephone | 214-559-5000
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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 | P26514
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 060.0004047
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301111737
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T5937
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License Number State | TX
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