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General NPI Number Information
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NPI Number | 1164871810
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Entity Type | Individual
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Provider Name | KIRPAL KAUR
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Gender | Female
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 4001 DAVISON RD
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City | BURTON
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State | MI
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Zip | 48509-1401
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Country | US
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Telephone | 810-742-0217
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Fax |
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Provider Business Mailing Address
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Address Line | 6421 AMBER LN
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City | GRAND BLANC
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State | MI
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Zip | 48439-7835
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Country | US
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Telephone | 585-503-4638
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302044037
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License Number State | MI
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