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General NPI Number Information
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NPI Number | 1174927123
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Entity Type | Organization
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Legal Business Name | METRO PHYSICIANS MEDICAL GROUP
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 11795 EDUCATION ST 230
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City | AUBURN
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State | CA
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Zip | 95602-2454
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Country | US
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Telephone | 916-577-1953
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1023
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City | ROSEVILLE
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State | CA
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Zip | 95678-8023
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Country | US
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Telephone | 916-577-1953
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MANDEEP SINGH
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Credential | MD
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Telephone | 916-577-1953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A126114
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License Number State | CA
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