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General NPI Number Information
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NPI Number | 1326086984
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Entity Type | Individual
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Provider Name | HARINDER S BRAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 315 N COBB ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2683
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Country | US
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Telephone | 478-453-0230
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Fax | 478-453-0940
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Provider Business Mailing Address
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Address Line | 157 NORTHWOODS DR NW
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-8260
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Country | US
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Telephone | 478-453-1015
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | GA033939
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License Number State | GA
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