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General NPI Number Information
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NPI Number | 1194532796
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Entity Type | Organization
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Legal Business Name | PALLIPAIN LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 102 MARY ALICE PARK RD STE 503
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City | CUMMING
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State | GA
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Zip | 30040-2697
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Country | US
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Telephone | 470-238-8996
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Fax | 470-202-0144
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Provider Business Mailing Address
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Address Line | PO BOX 1514
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City | BUFORD
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State | GA
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Zip | 30515-8514
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Country | US
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Telephone | 470-238-8996
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Fax | 470-202-0144
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Authorized Official
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Title or Position | OWNER
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Name | KANWAR ZAMEER SINGH GILL
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Credential | MD
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Telephone | 470-238-8996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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