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General NPI Number Information
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NPI Number | 1154308484
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Entity Type | Individual
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Provider Name | GAMDUR S BRAR MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2339 W CLEVELAND AVE STE 101
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City | MADERA
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State | CA
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Zip | 93637-8765
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Country | US
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Telephone | 155-967-5940
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Fax | 559-675-9404
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Provider Business Mailing Address
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Address Line | 2339 W CLEVELAND AVE STE 101
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City | MADERA
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State | CA
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Zip | 93637-8765
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Country | US
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Telephone | 559-675-9400
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Fax | 559-675-9404
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | C51065
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License Number State | CA
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