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General NPI Number Information
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NPI Number | 1164611570
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Entity Type | Individual
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Provider Name | KISHWAR R. GILL MD
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Gender | Female
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 468 N VERMONT AVE
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City | DINUBA
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State | CA
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Zip | 93618-1631
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Country | US
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Telephone | 559-591-6200
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Fax | 559-591-2724
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Provider Business Mailing Address
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Address Line | 5943 W ELOWIN DR
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City | VISALIA
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State | CA
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Zip | 93291-9222
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Country | US
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Telephone | 559-622-9601
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Fax | 559-627-1131
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00A526972
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A52697
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License Number State | CA
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