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General NPI Number Information
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NPI Number | 1710080783
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Entity Type | Organization
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Legal Business Name | GURPREET KOCHAR MD PC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 101 DUTTON ST
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City | RIDLEY PARK
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State | PA
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Zip | 19078-2308
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Country | US
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Telephone | 610-521-8450
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Fax | 610-521-0345
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Provider Business Mailing Address
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Address Line | PO BOX 205
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City | DREXEL HILL
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State | PA
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Zip | 19026-0205
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Country | US
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Telephone | 610-259-9900
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Fax | 610-284-7384
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DR. GURPREET KOCHAR
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Credential | MD
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Telephone | 610-521-8450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD039916L
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License Number State | PA
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