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General NPI Number Information
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NPI Number | 1538265483
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Entity Type | Individual
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Provider Name | SURINDERPAL SINGH KAHLON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 206 N RANDOLPH ST STE 2
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3976
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Country | US
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Telephone | 224-786-1998
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 3605 BAYVIEW DR
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City | DANVILLE
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State | IL
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Zip | 61832-1067
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Country | US
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Telephone | 217-497-9090
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036091614
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License Number State | IL
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