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NPI 1740500289

NPI 1740500289 : AMANDEEP KAUR M.D : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1740500289
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    Entity Type          |    Individual 
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    Provider Name        |    AMANDEEP KAUR M.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2010
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    Last Update Date     |    08/01/2022
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Provider Practice Location Address
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    Address Line         |    401 N VALLEY PKWY STE 380 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75067-3472
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    Country              |    US
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    Telephone            |    469-904-6428
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    Fax                  |    469-904-9427
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Provider Business Mailing Address
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    Address Line         |    PO BOX 842861 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75284-2861
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    Country              |    US
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    Telephone            |    832-978-9721
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    Fax                  |    469-904-6427
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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       |    P3739
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    P3739
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    License Number State |    TX
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