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General NPI Number Information
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NPI Number | 1902092877
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Entity Type | Organization
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Legal Business Name | GURINDER DOAD MD PHD
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 5462 TAMMY LITTLE DR
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City | SECTION
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State | AL
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Zip | 35771-7208
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Country | US
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Telephone | 256-228-4166
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Fax | 256-228-4186
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Provider Business Mailing Address
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Address Line | 5462 TAMMY LITTLE DR PO BOX 320
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City | SECTION
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State | AL
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Zip | 35771-7208
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Country | US
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Telephone | 256-228-4166
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Fax | 256-228-4186
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Authorized Official
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Title or Position | OWNER
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Name | GURINDER DOAD
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Credential | MD
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Telephone | 256-228-4166
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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 | 21721
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License Number State | AL
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