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General NPI Number Information
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NPI Number | 1659655447
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Entity Type | Individual
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Provider Name | SHAVNEET KAUR
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 14048 WOODWARD AVE
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City | HIGHLAND PARK
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State | MI
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Zip | 48203-3629
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Country | US
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Telephone | 313-869-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 2242 ST CLAIRE AVE
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City | WINDSOR
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State | ONTARIO
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Zip | N9B3W4
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Country | CA
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302036015
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License Number State | MI
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