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General NPI Number Information
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NPI Number | 1144497033
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Entity Type | Individual
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Provider Name | KANWARPAUL S GREWAL D. O.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2008
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 30 MERRICK AVE STE 103
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City | EAST MEADOW
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State | NY
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Zip | 11554-1580
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Country | US
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Telephone | 516-743-9450
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Fax | 516-743-9451
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Provider Business Mailing Address
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Address Line | 30 MERRICK AVE STE 103
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City | EAST MEADOW
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State | NY
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Zip | 11554-1580
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Country | US
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Telephone | 516-743-9450
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Fax | 516-743-9451
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 256297
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 256297
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 256297
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 256297
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License Number State | NY
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