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General NPI Number Information
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NPI Number | 1962523381
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Entity Type | Individual
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Provider Name | ARVIND K BANSAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 166 PASADENA DR STE 100
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City | LEXINGTON
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State | KY
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Zip | 40503-2974
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Country | US
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Telephone | 859-278-0319
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Fax | 859-277-9699
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Provider Business Mailing Address
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Address Line | 2401 DEMERS AVE
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City | GRAND FORKS
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State | ND
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Zip | 58201
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Country | US
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Telephone | 701-780-1891
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Fax | 701-780-1942
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 054461
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 054461
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 054461
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 52641
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10454
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 054461
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 10454
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License Number State | ND
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