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General NPI Number Information
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NPI Number | 1831277425
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Entity Type | Individual
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Provider Name | PARINDA KANAIYALAL FRUCHTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1406A W INNES ST
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City | SALISBURY
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State | NC
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Zip | 28144-2502
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Country | US
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Telephone | 704-639-0407
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Fax | 704-639-9599
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Provider Business Mailing Address
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Address Line | 105 WILLOW RD
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City | SALISBURY
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State | NC
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Zip | 28147-7746
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Country | US
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Telephone | 704-630-0097
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9700247
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License Number State | NC
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