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General NPI Number Information
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NPI Number | 1487116117
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Entity Type | Individual
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Provider Name | KIRANDEEP CHAHAL DO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2350 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-5075
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Country | US
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Telephone | 702-564-8556
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Fax | 702-564-4485
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Provider Business Mailing Address
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Address Line | 11315 GRAVITATION DR
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City | LAS VEGAS
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State | NV
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Zip | 89135-3411
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Country | US
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Telephone | 571-527-9191
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DO3223
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License Number State | NV
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