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General NPI Number Information
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NPI Number | 1679867824
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Entity Type | Individual
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Provider Name | PARDEEP KAUR DDS MS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 548 BATTLEFIELD BLVD S
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5363
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Country | US
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Telephone | 757-681-8181
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Fax | 757-900-9951
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Provider Business Mailing Address
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Address Line | 548 BATTLEFIELD BLVD S
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City | CHESAPEAKE
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State | VA
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Zip | 23322-5363
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Country | US
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Telephone | 757-681-8181
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Fax | 757-900-9951
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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 | 019028647
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401414574
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License Number State | VA
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