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General NPI Number Information
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NPI Number | 1871781021
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Entity Type | Individual
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Provider Name | HARLEEN BAWA PT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1165 NORTHERN BLVD STE 202
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City | MANHASSET
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State | NY
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Zip | 11030-3048
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Country | US
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Telephone | 516-667-4331
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Fax | 516-209-3235
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Provider Business Mailing Address
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Address Line | 154 MINEOLA BLVD
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City | MINEOLA
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State | NY
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Zip | 11501-3981
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Country | US
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Telephone | 516-667-4331
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Fax | 516-209-3235
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 029200-1
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License Number State | NY
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