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General NPI Number Information
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NPI Number | 1124344122
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Entity Type | Individual
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Provider Name | KIRANJOT GUJRAL M.D
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Gender | Female
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1970 HOSPITAL VIEW WAY UNIT B
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City | CLERMONT
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State | FL
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Zip | 34711-1920
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Country | US
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Telephone | 352-677-9141
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Fax | 352-549-9379
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | WINDERMERE
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State | FL
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Zip | 34786-0990
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME165806
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD19469
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 51123
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License Number State | MN
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