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General NPI Number Information
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NPI Number | 1679831481
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Entity Type | Individual
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Provider Name | KAMALJIT KAUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 8130 ROYAL PALM BLVD STE 204
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5703
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Country | US
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Telephone | 954-559-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 N CORPORATE LAKES BLVD UNIT 266197
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City | WESTON
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State | FL
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Zip | 33326-8803
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Country | US
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Telephone | 954-559-8970
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME123064
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License Number State | FL
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