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General NPI Number Information
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NPI Number | 1265695563
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Entity Type | Individual
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Provider Name | RAVINDERJIT SINGH MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 768 PLEASANT VALLEY RD STE 201
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City | DIAMOND SPRINGS
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State | CA
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Zip | 95619-9260
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Country | US
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Telephone | 530-621-6290
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Fax | 530-622-1293
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Provider Business Mailing Address
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Address Line | 1255 TRAVIS BLVD
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City | FAIRFIELD
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State | CA
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Zip | 94533-4801
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Country | US
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Telephone | 707-255-3300
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Fax | 707-255-3527
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301100016
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A120812
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License Number State | CA
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