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General NPI Number Information
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NPI Number | 1285829291
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Entity Type | Organization
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Legal Business Name | HARINDER K SIDHU,MD;PA
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 2611 E MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32806-5041
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Country | US
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Telephone | 407-897-1100
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Fax | 407-897-1160
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Provider Business Mailing Address
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Address Line | 2611 E MICHIGAN ST
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City | ORLANDO
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State | FL
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Zip | 32806-5041
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Country | US
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Telephone | 407-897-1100
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Fax | 407-897-1160
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARINDER KAUR SIDHU
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Credential | MD
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Telephone | 407-897-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0058803
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License Number State | FL
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