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General NPI Number Information
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NPI Number | 1184946543
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Entity Type | Individual
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Provider Name | KIRANDEEP K BOPARAI P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 1110 CIVIC CENTER BLVD STE 502
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City | YUBA CITY
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State | CA
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Zip | 95993-3015
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Country | US
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Telephone | 530-671-7977
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Fax | 530-671-6163
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Provider Business Mailing Address
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Address Line | 1866 ROLLING ROCK CT
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City | YUBA CITY
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State | CA
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Zip | 95993-1425
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Country | US
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Telephone | 530-923-7172
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27737
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License Number State | CA
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