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NPI 1609093590

NPI 1609093590 : BIPINPREET SINGH NAGRA M.D. : TRENTON, NJ

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General NPI Number Information
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    NPI Number           |    1609093590
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    Entity Type          |    Individual 
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    Provider Name        |    BIPINPREET SINGH NAGRA M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    09/20/2011
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Provider Practice Location Address
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    Address Line         |    40 FULD ST SUITE 400
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-5247
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    Country              |    US
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    Telephone            |    609-396-1644
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    Fax                  |    609-394-9526
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Provider Business Mailing Address
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    Address Line         |    40 FULD ST SUITE 400
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-5247
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    Country              |    US
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    Telephone            |    609-396-1644
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    Fax                  |    609-394-9526
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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        |    207RI0011X
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    Taxonomy Name        |    Interventional Cardiology Physician
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    License Number       |    35089774
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    40892
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    35089774
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    25MA08720200
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    License Number State |    NJ
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