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General NPI Number Information
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NPI Number | 1609250265
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Entity Type | Individual
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Provider Name | PARUL TANGRI
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 101 MARTIN LUTHER KING DR
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City | MANKATO
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State | MN
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Zip | 56001-6460
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Country | US
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Telephone | 507-594-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 11TH AVE SW
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City | MINOT
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State | ND
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Zip | 58701-4207
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Country | US
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Telephone | 701-858-6778
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14987
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 66340
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License Number State | MN
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