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General NPI Number Information
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NPI Number | 1538411418
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Entity Type | Individual
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Provider Name | JATINDER KAUR RPH
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Gender | Female
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 1633 GORDON HWY
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City | AUGUSTA
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State | GA
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Zip | 30906-2220
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Country | US
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Telephone | 706-792-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 750 LOCKS WAY
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City | AUGUSTA
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State | GA
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Zip | 30907-4972
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Country | US
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Telephone | 626-278-4979
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58633
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13184
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26330
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License Number State | GA
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