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General NPI Number Information
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NPI Number | 1871667204
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Entity Type | Individual
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Provider Name | GURBIR S. KHERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2006
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 28 BRIAR HILL DR STE 4
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City | MANALAPAN
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State | NJ
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Zip | 07726-3021
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Country | US
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Telephone | 732-530-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 148
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City | MANALAPAN
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State | NJ
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Zip | 07726-0148
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Country | US
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Telephone | 732-530-2900
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Fax | 732-780-2804
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA04666000
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License Number State | NJ
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