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General NPI Number Information
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NPI Number | 1205441730
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Entity Type | Individual
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Provider Name | ARSHDEEP KAUR
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Gender | Female
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 10385 OLD PLACERVILLE RD
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City | SACRAMENTO
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State | CA
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Zip | 95827-2506
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Country | US
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Telephone | 916-448-1770
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Fax |
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Provider Business Mailing Address
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Address Line | 9918 TARZO WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-3020
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Country | US
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Telephone | 408-964-0348
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60751
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License Number State | CA
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