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General NPI Number Information
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NPI Number | 1033987516
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Entity Type | Individual
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Provider Name | GURJIT KAUR
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Gender | Female
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 515 W COLUMBUS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5846
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Country | US
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Telephone | 559-296-2012
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1455
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City | SELMA
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State | CA
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Zip | 93662-1455
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Country | US
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Telephone | 559-296-2012
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS109687
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License Number State | CA
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