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General NPI Number Information
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NPI Number | 1154402683
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Entity Type | Organization
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Legal Business Name | GURMEET S. MULATNI M.D. INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1881 BUSINESS CENTER DR # 9
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3465
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Country | US
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Telephone | 909-890-1411
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Fax | 909-890-1415
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Provider Business Mailing Address
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Address Line | 1881 BUSINESS CENTER DR # 9
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3465
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Country | US
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Telephone | 909-890-1411
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Fax | 909-890-1415
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GURMEET S MULTANI
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Credential | M.D.
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Telephone | 909-890-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A048279
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License Number State | CA
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