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General NPI Number Information
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NPI Number | 1770286692
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Entity Type | Individual
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Provider Name | HARMANMEET KAUR DMD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 04/02/2023
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Provider Practice Location Address
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Address Line | 1530 LAKE ST
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City | ROSELLE
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State | IL
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Zip | 60172-3330
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Country | US
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Telephone | 630-473-8457
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 ARIANA DR
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City | BARTLETT
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State | IL
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Zip | 60103-2314
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Country | US
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Telephone | 209-489-0461
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019033878
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License Number State | IL
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