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General NPI Number Information
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NPI Number | 1962616672
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Entity Type | Individual
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Provider Name | MRS. GURPREET KAUR
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1187 CLINTON AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2012
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Country | US
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Telephone | 973-375-0400
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Fax | 973-375-6930
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Provider Business Mailing Address
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Address Line | 43 ELIZABETH AVE
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City | EDISON
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State | NJ
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Zip | 08820-3960
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Country | US
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Telephone | 732-662-5075
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI022905
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License Number State | NJ
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