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1053734657
PRAVEEN DATAR
WEST PLAINS, MO
NPI
1053734657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO 2020004210)
Enumeration Date
2014-02-03
Last Update Date
2024-07-26
Business Address
PRAVEEN DATAR MD
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775-2029
Phone number: 417-256-9111
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Mailing Address
PRAVEEN DATAR MD
PO BOX 1100
WEST PLAINS, MO 65775-1100
Phone number: 417-256-9111
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