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General NPI Number Information
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NPI Number | 1659082378
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Entity Type | Individual
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Provider Name | NAVDEEP KAUR
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Gender | Female
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 6601 LEWIS AVE
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City | TEMPERANCE
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State | MI
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Zip | 48182-1209
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Country | US
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Telephone | 734-206-2016
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Fax |
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Provider Business Mailing Address
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Address Line | 45418 GLENGARRY BLVD
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City | CANTON
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State | MI
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Zip | 48188-3001
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Country | US
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Telephone | 917-238-3424
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704395017
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License Number State | MI
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