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General NPI Number Information
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NPI Number | 1225316573
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Entity Type | Individual
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Provider Name | AMARPAUL SINGH BHATHAL M,D
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Gender | Male
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 11338 N BLUE SAGE AVE
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City | FRESNO
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State | CA
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Zip | 93730-8846
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Country | US
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Telephone | 949-616-2105
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Fax |
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Provider Business Mailing Address
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Address Line | 11338 N BLUE SAGE AVE
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City | FRESNO
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State | CA
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Zip | 93730-8846
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A1333354
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License Number State | CA
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