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General NPI Number Information
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NPI Number | 1164452272
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Entity Type | Individual
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Provider Name | GURPREET S AHLUWALIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1250 MORENA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92110-3815
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Country | US
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Telephone | 619-692-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 MORENA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92110-3815
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Country | US
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Telephone | 619-692-8750
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 040295
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License Number State | GA
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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 | MD27678
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 040295
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License Number State | GA
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