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General NPI Number Information
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NPI Number | 1366424525
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Entity Type | Individual
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Provider Name | SUNEETA MADAN-KHETARPAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1 CHILDRENS HOSPITAL DR SUITE 1200 FACULTY PAVILLION
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City | PITTSBURGH
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State | PA
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Zip | 15224-1529
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Country | US
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Telephone | 412-692-6861
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Fax | 412-692-6472
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Provider Business Mailing Address
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Address Line | 54 MALLARD DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-1135
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Country | US
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Telephone | 717-574-7320
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | MD054778L
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License Number State | PA
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