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General NPI Number Information
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NPI Number | 1336032093
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Entity Type | Individual
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Provider Name | TARAN KAUR FNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1679 OLD FANNIN RD STE E
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City | FLOWOOD
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State | MS
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Zip | 39232-8101
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Country | US
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Telephone | 601-398-1949
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Fax |
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Provider Business Mailing Address
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Address Line | 751 GLENWILD DR
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City | CANTON
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State | MS
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Zip | 39046-7060
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Country | US
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Telephone | 601-946-3259
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906680
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License Number State | MS
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