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General NPI Number Information
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NPI Number | 1265926091
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Entity Type | Organization
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Legal Business Name | HARPREET K. GILL, DDS, INC.
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 801 S HAM LN STE J
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City | LODI
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State | CA
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Zip | 95242-7502
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Country | US
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Telephone | 415-205-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 801 S HAM LN STE J
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City | LODI
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State | CA
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Zip | 95242-7502
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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 | CFO
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Name | KANWALJEET S GILL
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Credential |
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Telephone | 415-205-9808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52859
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License Number State | CA
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