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General NPI Number Information
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NPI Number | 1922493899
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Entity Type | Individual
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Provider Name | VIKRAM SINGH PANWAR M.D
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 43 SERVIDEA DR
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City | RIDGWAY
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State | PA
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Zip | 15853-6333
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Country | US
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Telephone | 814-776-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E MAIN ST
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City | BRADFORD
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State | PA
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Zip | 16701-3278
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Country | US
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Telephone |
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Fax | 913-588-6414
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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 | MD478647
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License Number State | PA
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