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General NPI Number Information
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NPI Number | 1588309876
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Entity Type | Individual
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Provider Name | KULBIR RANGI DO
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Gender | Male
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Dates
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Enumeration Date | 05/01/2022
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 5217 N LAWRENCE STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19120
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Country | US
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Telephone | 215-497-0574
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WAYNE RD
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City | HADDONFIELD
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State | NJ
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Zip | 08033-3637
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Country | US
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Telephone | 215-497-0574
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS020322
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License Number State | PA
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