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General NPI Number Information
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NPI Number | 1932490687
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Entity Type | Individual
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Provider Name | PARDEEP AUJLA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 1595 BRIDGE ST UNIT 3
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City | DRACUT
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State | MA
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Zip | 01826-2771
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Country | US
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Telephone | 978-323-2808
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Fax | 978-323-2810
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Provider Business Mailing Address
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Address Line | PO BOX 808 SJ PHYSICIAN SERVICES
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City | NASHUA
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State | NH
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Zip | 03061-0808
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Country | US
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Telephone | 603-595-2997
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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 | 16438
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 257360
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License Number State | MA
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