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General NPI Number Information
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NPI Number | 1679582456
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Entity Type | Individual
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Provider Name | NARINDER MOHAN KUKAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 385 SENECA AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-1340
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Country | US
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Telephone | 718-497-0060
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Fax | 718-497-0060
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Provider Business Mailing Address
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Address Line | 6HEATHER LANE
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City | MUTTONTOWN
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State | NY
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Zip | 11753-1302
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Country | US
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Telephone | 516-938-4965
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Fax | 516-938-9446
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 111361
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License Number State | NY
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