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General NPI Number Information
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NPI Number | 1417940065
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Entity Type | Individual
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Provider Name | BRINDA K NAVALGUND M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 1275 S MAIN ST SUITE 103
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City | GREENSBURG
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State | PA
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Zip | 15601-5385
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Country | US
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Telephone | 412-561-7246
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Fax | 412-235-4011
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Provider Business Mailing Address
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Address Line | 120 VILLAGE DR
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City | GREENSBURG
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State | PA
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Zip | 15601-3787
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Country | US
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Telephone | 724-552-0585
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Fax | 412-235-4011
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD420107
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License Number State | PA
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