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General NPI Number Information
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NPI Number | 1215206438
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Entity Type | Organization
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Legal Business Name | GURBACHAN PAL SONI M.D. PA.
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 110 N FEDERAL HWY SUITE#302
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4300
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Country | US
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Telephone | 954-458-5000
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Fax | 954-583-1664
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Provider Business Mailing Address
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Address Line | 7301 PEPPERTREE CIR S
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City | DAVIE
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State | FL
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Zip | 33314-6922
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Country | US
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Telephone | 954-458-5000
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Fax | 954-583-1664
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GURBACHAN PAL SONI
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Credential | M.D.
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Telephone | 954-458-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0034790
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License Number State | FL
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