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General NPI Number Information
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NPI Number | 1033502505
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Entity Type | Individual
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Provider Name | MANPREET KAUR SHEABAT PA
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Gender | Female
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 2401 E ORANGEBURG AVE STE 330
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City | MODESTO
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State | CA
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Zip | 95355-3396
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Country | US
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Telephone | 209-726-7381
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Fax |
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Provider Business Mailing Address
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Address Line | 737 W CHILDS AVE
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City | MERCED
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State | CA
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Zip | 95341-6805
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Country | US
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Telephone | 866-682-4842
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1256773
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 24376
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAC0910
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA15571
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 61099
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License Number State | CA
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