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General NPI Number Information
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NPI Number | 1447892930
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Entity Type | Organization
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Legal Business Name | KAUR DDS PLLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 4847 SHOPTON RD STE C-D
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City | CHARLOTTE
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State | NC
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Zip | 28278-6747
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Country | US
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Telephone | 704-444-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 11420 CLEMS BRANCH DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-4360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PUSHPINDER KAUR
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Credential |
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Telephone | 609-915-8351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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