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General NPI Number Information
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NPI Number | 1780244798
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Entity Type | Organization
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Legal Business Name | KANWARPAUL S. GREWAL MEDICAL PLLC
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 30 MERRICK AVE STE 103
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City | EAST MEADOW
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State | NY
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Zip | 11554-1580
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Country | US
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Telephone | 516-743-9450
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Fax | 516-743-9451
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Provider Business Mailing Address
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Address Line | 30 MERRICK AVE STE 103
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City | EAST MEADOW
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State | NY
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Zip | 11554-1580
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Country | US
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Telephone | 516-743-9450
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Fax | 516-743-9451
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Authorized Official
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Title or Position | OWNER
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Name | DR. KANWARPAUL S GREWAL
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Credential | DO
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Telephone | 516-743-9450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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