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General NPI Number Information
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NPI Number | 1003440686
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Entity Type | Individual
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Provider Name | AKASHDEEP KAUR-BRAR
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 774 FAIRMOUNT AVE
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City | JAMESTOWN
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State | NY
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Zip | 14701-2609
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Country | US
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Telephone | 716-665-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 432 KELLINGTON DR
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-5337
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 045213
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License Number State | NY
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