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General NPI Number Information
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NPI Number | 1336777424
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Entity Type | Individual
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Provider Name | BALDISH KAUR KHERA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 13507 N 145TH DR
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City | SURPRISE
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State | AZ
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Zip | 85379-6162
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Country | US
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Telephone | 26-811-2742
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Fax | 202-335-6336
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Provider Business Mailing Address
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Address Line | 4120 N 108TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85037-5773
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Country | US
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Telephone | 623-925-0636
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Fax | 202-335-6336
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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 | 247837
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License Number State | AZ
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