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General NPI Number Information
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NPI Number | 1164832622
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Entity Type | Individual
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Provider Name | GURBIR DOAD MBA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 2980 WILDER RD
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City | BAY CITY
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State | MI
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Zip | 48706-9213
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Country | US
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Telephone | 989-667-9533
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Fax |
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Provider Business Mailing Address
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Address Line | 3822 LAMPLIGHTER DR
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City | SAGINAW
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State | MI
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Zip | 48603-8655
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Country | US
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Telephone | 706-224-3400
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302037596
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License Number State | MI
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