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General NPI Number Information
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NPI Number | 1114283348
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Entity Type | Individual
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Provider Name | AMANJOT KAUR MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 2960 SLEEPY HOLLOW RD
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City | FALLS CHURCH
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State | VA
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Zip | 22044
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Country | US
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Telephone | 703-538-2872
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Fax |
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Provider Business Mailing Address
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Address Line | 13015 AZALEA WOODS WAY
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City | HERNDON
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State | VA
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Zip | 20171-4811
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Country | US
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Telephone | 540-999-1316
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0101260127
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License Number State | VA
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