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General NPI Number Information
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NPI Number | 1942303342
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Entity Type | Individual
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Provider Name | MAHENDRA N KAKARLA MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/27/2015
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Provider Practice Location Address
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Address Line | 7999 W. VIRGINIA DR. SUITE B
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 972-296-6696
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Fax | 972-709-5389
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Provider Business Mailing Address
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Address Line | 7999 W VIRGINIA DR. SUITE B
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City | DALLAS
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State | TX
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Zip | 75237
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Country | US
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Telephone | 972-296-6696
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Fax | 972-709-5389
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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 | G0735
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License Number State | TX
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