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General NPI Number Information
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NPI Number | 1225851843
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Entity Type | Individual
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Provider Name | KULWANT KLAIR
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2 MEADOWBROOK LN
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City | NEWARK
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State | DE
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Zip | 19711-2802
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Country | US
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Telephone | 215-300-9016
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MEADOWBROOK LN
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City | NEWARK
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State | DE
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Zip | 19711-2802
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Country | US
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Telephone | 215-300-9016
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | AG09240114
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License Number State | PA
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