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General NPI Number Information
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NPI Number | 1174442727
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Entity Type | Individual
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Provider Name | RAMANVIR K SIDHU
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 2615 E CLINTON AVE
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City | FRESNO
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State | CA
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Zip | 93703-2223
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Country | US
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Telephone | 559-951-2747
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 BRISTLECONE DR
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City | MADERA
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State | CA
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Zip | 93638-5830
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Country | US
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Telephone | 559-951-2747
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95034333
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95222280
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License Number State | CA
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