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General NPI Number Information
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NPI Number | 1205765658
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Entity Type | Individual
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Provider Name | SUMEET JOHAL
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1701 WESTWIND DR STE 227
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3047
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Country | US
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Telephone | 209-841-9001
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Fax | 661-404-4925
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Provider Business Mailing Address
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Address Line | 2602 GANTRY DR
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City | MANTECA
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State | CA
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Zip | 95337-2097
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Country | US
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Telephone | 209-841-9001
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Fax | 661-404-4925
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95021736
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License Number State | CA
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