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General NPI Number Information
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NPI Number | 1255813846
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Entity Type | Individual
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Provider Name | MANPREET KAUR BADWAL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 43 STATE ST
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City | LYNN
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State | MA
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Zip | 01901-1504
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Country | US
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Telephone | 781-596-9625
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BUTLER DR
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City | MIDDLETON
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State | MA
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Zip | 01949-1471
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH238375
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License Number State | MA
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