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General NPI Number Information
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NPI Number | 1245764349
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Entity Type | Individual
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Provider Name | JASMYN KAUR JOHAL MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR RM G333
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-498-7570
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 147
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City | SUNOL
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State | CA
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Zip | 94586-0147
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A157037
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License Number State | CA
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