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General NPI Number Information
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NPI Number | 1073529889
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Entity Type | Individual
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Provider Name | PARMJIT KAUR GILL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 4304 HIGHLAND PARK BLVD
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City | LAKELAND
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State | FL
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Zip | 33813-1647
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Country | US
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Telephone | 863-644-9398
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Fax | 863-644-9354
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Provider Business Mailing Address
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Address Line | 125 LAKE REGION CIR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-9549
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Country | US
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Telephone | 863-446-1698
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Fax | 863-644-9354
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME96413
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License Number State | FL
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