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General NPI Number Information
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NPI Number | 1417538703
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Entity Type | Individual
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Provider Name | NARINDER JIT PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 100 LIVINGSTON ST STE 2
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City | BROOKLYN
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State | NY
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Zip | 11201-5023
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Country | US
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Telephone | 877-266-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 122 WARRIOR LN
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City | CLINTON
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State | MS
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Zip | 39056-3153
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Country | US
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Telephone | 601-398-8150
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 026537
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License Number State | NY
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