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General NPI Number Information
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NPI Number | 1659368108
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Entity Type | Individual
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Provider Name | MANJEET KAUR ACHREJA MD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 614 N BROAD ST
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City | SEAGROVE
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State | NC
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Zip | 27341-8613
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Country | US
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Telephone | 336-873-7248
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Fax | 336-873-7238
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Provider Business Mailing Address
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Address Line | 614 N BROAD ST
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City | SEAGROVE
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State | NC
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Zip | 27341-8613
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Country | US
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Telephone | 336-873-7248
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Fax | 336-873-7238
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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 | 29458
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License Number State | NC
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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 | 29458
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 29458
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License Number State | NC
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