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NPI 1114839321

NPI 1114839321 : EL DORADO HILLS DERMATOLOGY & SKIN CANCER CENTER, A PROFESSIONAL MEDICAL CORPORATION : EL DORADO HILLS, CA

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General NPI Number Information
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    NPI Number           |    1114839321
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    Entity Type          |    Organization 
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    Legal Business Name  |    EL DORADO HILLS DERMATOLOGY & SKIN CANCER CENTER, A PROFESSIONAL MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    09/22/2026
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    Last Update Date     |    09/25/2026
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Provider Practice Location Address
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    Address Line         |    1216 SUNCAST LN STE 4 
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    City                 |    EL DORADO HILLS
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    State                |    CA
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    Zip                  |    95762-9668
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    Country              |    US
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    Telephone            |    408-306-9151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1216 SUNCAST LN STE 4 
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    City                 |    EL DORADO HILLS
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    State                |    CA
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    Zip                  |    95762-9668
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    Country              |    US
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    Telephone            |    408-306-9151
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER/PRESIDENT
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    Name                 |    DR. BABU  SINGH 
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    Credential           |    
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    Telephone            |    408-306-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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