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General NPI Number Information
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NPI Number | 1447029004
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Entity Type | Individual
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Provider Name | GURDEEP KAUR
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Gender | Female
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 2090 ROUTE 27 STE 101
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-1142
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Country | US
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Telephone | 732-220-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 41 VALE PL
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City | SEWAREN
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State | NJ
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Zip | 07077-1313
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Country | US
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Telephone | 732-585-5854
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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 | 26NJ14978200
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License Number State | NJ
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