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General NPI Number Information
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NPI Number | 1083981252
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Entity Type | Individual
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Provider Name | AKASHDEEP SINGH GILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 11870 SANTA MONICA BLVD STE 106745
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City | WEST LOS ANGELES
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State | CA
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Zip | 90025-2276
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Country | US
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Telephone | 310-737-8499
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Fax |
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Provider Business Mailing Address
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Address Line | 5294 THORNBURN ST
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City | LOS ANGELES
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State | CA
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Zip | 90045-2258
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Country | US
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Telephone | 419-450-1832
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 123279
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | X
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License Number State | CA
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