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General NPI Number Information
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NPI Number | 1003389081
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Entity Type | Individual
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Provider Name | HARPREET KAUR GREWAL
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Gender | Female
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 25639 FORD RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-4817
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Country | US
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Telephone | 313-277-3293
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Fax |
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Provider Business Mailing Address
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Address Line | 41517 SANCTUARY LN
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City | CANTON
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State | MI
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Zip | 48188-4005
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Country | US
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Telephone | 419-966-9338
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.023503
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 470-4349870
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License Number State | MI
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