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General NPI Number Information
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NPI Number | 1104359850
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Entity Type | Individual
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Provider Name | KIRANPREET NARAIN
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 2900 MAIN ST STE 2E
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City | STRATFORD
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State | CT
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Zip | 06614-4946
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Country | US
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Telephone | 203-687-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 137 SUNFLOWER AVE
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City | STRATFORD
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State | CT
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Zip | 06614-2711
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Country | US
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Telephone | 203-687-5420
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 12189
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License Number State | CT
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