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General NPI Number Information
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NPI Number | 1104805670
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Entity Type | Individual
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Provider Name | JUGTA KAHAI MD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 120 MEMORIAL DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6328
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Country | US
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Telephone | 910-353-0581
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Fax | 910-577-1150
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Provider Business Mailing Address
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Address Line | 118 MEMORIAL DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6328
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9900076
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License Number State | NC
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