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General NPI Number Information
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NPI Number | 1235949983
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Entity Type | Individual
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Provider Name | JAGDEEP KAUR
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1700 MOUNT VERNON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-326-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 404 CAMINO DEL RIO S STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92108-3586
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95033540
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License Number State | CA
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