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General NPI Number Information
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NPI Number | 1003964370
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Entity Type | Organization
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Legal Business Name | CARE GASTROENTEROLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 655 CAMINO DE LOS MARES SUTE 123
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2809
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Country | US
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Telephone | 949-443-1546
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Fax | 949-443-1077
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Provider Business Mailing Address
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Address Line | PO BOX 4517
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City | MISSION VIEJO
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State | CA
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Zip | 92690-4517
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Country | US
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Telephone | 949-443-1546
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Fax | 949-443-1077
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NAVJYOT GUJRAL
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Credential | MD
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Telephone | 949-734-4396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A60836
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License Number State | CA
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