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Individual
DR. PRADEEP BOSE
Active
Individual
DR. PRADEEP BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
25666
KY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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