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General NPI Number Information
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NPI Number | 1669143806
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Entity Type | Individual
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Provider Name | HARDEEP K DARAR
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 1166 STATE ROUTE 3 S STE 211
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City | GAMBRILLS
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State | MD
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Zip | 21054-1776
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Country | US
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Telephone | 260-494-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 61 PIERCE ST NE UNIT 854
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City | WASHINGTON
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State | DC
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Zip | 20002-2097
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Country | US
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Telephone | 260-494-2950
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 17555
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License Number State | MD
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