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General NPI Number Information
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NPI Number | 1548879752
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Entity Type | Organization
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Legal Business Name | NAVDEEP DOGRA MD
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 1801 W 40TH AVE STE 2C
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City | PINE BLUFF
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State | AR
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Zip | 71603-6957
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Country | US
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Telephone | 870-663-4849
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W 40TH AVE STE 2C
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City | PINE BLUFF
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State | AR
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Zip | 71603-6957
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Country | US
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Telephone | 870-663-4849
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | NAVDEEP DOGRA
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Credential | MD
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Telephone | 870-663-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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