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General NPI Number Information
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NPI Number | 1063973451
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Entity Type | Individual
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Provider Name | JASPREET KAUR DOGRA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 60 N MOORPARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4454
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Country | US
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Telephone | 805-496-9310
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 CALLA LILY CT
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City | SIMI VALLEY
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State | CA
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Zip | 93063-0428
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Country | US
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Telephone | 805-522-1350
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73643
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License Number State | CA
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