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General NPI Number Information
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NPI Number | 1013039403
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Entity Type | Individual
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Provider Name | GURDEEP K SETHI NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 22550 N SUMMIT RIDGE CIR
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City | CHATSWORTH
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State | CA
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Zip | 91311-2672
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Country | US
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Telephone | 818-772-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 22550 N SUMMIT RIDGE CIRCLE
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City | CHATSWORTH
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State | CA
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Zip | 91344
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Country | US
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Telephone | 818-772-1301
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 320102
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License Number State | CA
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