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General NPI Number Information
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NPI Number | 1972402816
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Entity Type | Individual
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Provider Name | DR. NISHANTH SANALKUMAR
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Gender | Male
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 703 E MARSHALL AVE STE 4003
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City | LONGVIEW
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State | TX
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Zip | 75601-5500
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Country | US
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Telephone | 903-753-7291
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 TEASDALE DR
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City | MCKINNEY
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State | TX
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Zip | 75071-7251
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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 |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | U8584
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License Number State | TX
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