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General NPI Number Information
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NPI Number | 1649255969
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Entity Type | Individual
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Provider Name | AMARJEET SINGH PUREWAL PSY.D
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 1550 TOMCAT BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23460
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Country | US
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Telephone | 757-953-3985
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Fax |
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Provider Business Mailing Address
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Address Line | 2329 LONDALE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-6334
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Country | US
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Telephone | 571-480-0970
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1171
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License Number State | HI
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