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General NPI Number Information
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NPI Number | 1760498620
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Entity Type | Individual
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Provider Name | ARVINDER S UPPAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1727 E UNION ST
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City | GREENVILLE
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State | MS
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Zip | 38703-3253
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Country | US
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Telephone | 662-537-4830
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Fax | 662-537-4532
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Provider Business Mailing Address
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Address Line | 2411 PRINCETON ST
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City | GREENVILLE
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State | MS
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Zip | 38701-7515
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Country | US
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Telephone | 662-577-6673
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Fax | 662-537-4532
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD462683
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036106991
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036106991
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 22658
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License Number State | MS
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