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General NPI Number Information
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NPI Number | 1114689015
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Entity Type | Individual
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Provider Name | JASMEET KAUR
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Gender | Female
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 4 LONG RIDGE RD
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City | STAMFORD
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State | CT
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Zip | 06905-3802
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Country | US
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Telephone | 203-614-8943
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Fax |
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Provider Business Mailing Address
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Address Line | 8411 257TH ST
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City | FLORAL PARK
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State | NY
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Zip | 11001-1003
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Country | US
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Telephone | 929-434-4442
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13275
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License Number State | CT
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