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General NPI Number Information
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NPI Number | 1154118149
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Entity Type | Individual
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Provider Name | MANINDER KAUR FNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 55 W OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4037
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Country | US
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Telephone | 516-433-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 106 WILLIAM ST
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City | HICKSVILLE
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State | NY
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Zip | 11801-2824
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Country | US
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Telephone | 646-643-4332
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355848
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License Number State | NY
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