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General NPI Number Information
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NPI Number | 1497487219
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Entity Type | Individual
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Provider Name | HARLEEN KAUR SOHI
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Gender | Female
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 950 STATE ST
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City | SPRINGFIELD
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State | MA
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Zip | 01109-3145
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Country | US
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Telephone | 413-264-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 156 SUFFIELD ST APT 24
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City | AGAWAM
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State | MA
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Zip | 01001-1739
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Country | US
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Telephone | 716-471-9004
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859449
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License Number State | MA
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