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General NPI Number Information
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NPI Number | 1194975268
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Entity Type | Individual
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Provider Name | HARPREET KAUR GREWAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 2525 HARBOR BLVD STE 305
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5344
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Country | US
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Telephone | 941-275-2669
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1681
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City | NOKOMIS
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State | FL
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Zip | 34274-1681
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Country | US
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Telephone | 941-275-2669
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 246590
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME151620
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License Number State | FL
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