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General NPI Number Information
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NPI Number | 1114654449
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Entity Type | Organization
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Legal Business Name | DOC PK INC
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 4700 NORTHGATE BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1149
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Country | US
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Telephone | 916-929-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 NORTHGATE BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1149
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Country | US
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Telephone | 916-929-6161
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PARDEEP KAHLON
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Credential | MD
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Telephone | 408-475-5590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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