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General NPI Number Information
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NPI Number | 1700807070
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Entity Type | Individual
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Provider Name | HARPREET K KAHLON M.D.,
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 101 PARK PLACE BLVD SUITE A
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City | DAVENPORT
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State | FL
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Zip | 33837-6858
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Country | US
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Telephone | 863-421-2799
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Fax | 863-421-2791
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Provider Business Mailing Address
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Address Line | 101 PARK PLACE BLVD SUITE A
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City | DAVENPORT
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State | FL
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Zip | 33837-6858
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Country | US
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Telephone | 863-421-2799
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Fax | 863-421-2791
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME0074288
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License Number State | FL
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