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General NPI Number Information
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NPI Number | 1003158544
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Entity Type | Individual
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Provider Name | AMANDEEP SINGH SANDHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1122 E LINCOLN AVE STE 105
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City | ORANGE
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State | CA
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Zip | 92865-1908
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Country | US
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Telephone | 714-987-9880
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Fax | 714-709-8998
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Provider Business Mailing Address
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Address Line | 1122 E LINCOLN AVE STE 105
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City | ORANGE
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State | CA
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Zip | 92865-1908
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Country | US
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Telephone | 714-987-9880
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Fax | 714-709-8998
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A133186
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License Number State | CA
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