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General NPI Number Information
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NPI Number | 1215657846
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Entity Type | Individual
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Provider Name | JASBEEN KAUR RAKKAR
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1100 TRANCAS ST STE 250
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City | NAPA
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State | CA
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Zip | 94558-2909
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Country | US
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Telephone | 707-253-1135
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Fax |
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Provider Business Mailing Address
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Address Line | 457 MCCALL DR
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City | BENICIA
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State | CA
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Zip | 94510-3932
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Country | US
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Telephone | 707-315-4082
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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 | PA63863
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License Number State | CA
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