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General NPI Number Information
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NPI Number | 1083807531
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Entity Type | Individual
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Provider Name | ALOK BANGA MD,MBBS,MPH, MS
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Gender | Male
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 9303 LAGUNA SPRINGS DR STE 110
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City | ELK GROVE
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State | CA
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Zip | 95758-7834
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Country | US
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Telephone | 916-647-4044
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Fax | 916-647-4290
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Provider Business Mailing Address
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Address Line | 9370 W STOCKTON BLVD STE 130
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City | ELK GROVE
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State | CA
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Zip | 95758-8013
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Country | US
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Telephone | 916-647-4044
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Fax | 916-647-4290
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A131310
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A131310
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License Number State | CA
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