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General NPI Number Information
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NPI Number | 1306863022
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Entity Type | Organization
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Legal Business Name | KHURANA FAMILY MEDICINE M.D., P.A.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1005 W CIRCLE ST
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City | AVON PARK
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State | FL
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Zip | 33825-2928
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Country | US
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Telephone | 863-254-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 2624 ISLAND DR
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City | SEBRING
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State | FL
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Zip | 33872-7629
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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 | DIRECTOR
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Name | SUNAINA KHURANA
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Credential |
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Telephone | 863-414-1324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 87505
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License Number State | FL
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