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General NPI Number Information
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NPI Number | 1063953552
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Entity Type | Individual
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Provider Name | SIMRAT SHERGILL NP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2029 CENTURY PARK E STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90067-2905
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Country | US
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Telephone | 800-465-3203
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Fax |
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Provider Business Mailing Address
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Address Line | 20730 VALLEY GREEN DR
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City | CUPERTINO
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State | CA
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Zip | 95014-1704
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017811
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0001009
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC001977
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95008557
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License Number State | CA
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