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General NPI Number Information
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NPI Number | 1225347826
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Entity Type | Individual
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Provider Name | NAVDEEP KAUR PABLA RN BSN MSN NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 24815 RIDGECROFT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021
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Country | US
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Telephone | 586-420-0369
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Fax | 586-420-0369
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Provider Business Mailing Address
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Address Line | 24815 RIDGECROFT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-3454
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Country | US
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Telephone | 586-420-0369
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Fax | 586-420-0369
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704231635
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License Number State | MI
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