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General NPI Number Information
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NPI Number | 1750035747
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Entity Type | Individual
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Provider Name | RAMANDEEP KAUR GULATI APN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 12-15 SADDLE RIVER RD
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5808
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Country | US
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Telephone | 201-797-9522
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 42738
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City | TOWSON
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State | MD
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Zip | 21284-2738
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Country | US
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Telephone | 610-925-1100
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ01236900
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License Number State | NJ
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