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General NPI Number Information
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NPI Number | 1285052100
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Entity Type | Organization
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Legal Business Name | SUKHWINDER S. GILL DDS, INC.
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 03/29/2014
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Provider Practice Location Address
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Address Line | 505 BEAR MOUNTAIN BLVD. SUITE A
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City | ARVIN
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State | CA
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Zip | 93203-1454
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Country | US
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Telephone | 661-854-3306
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Fax | 661-854-3357
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Provider Business Mailing Address
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Address Line | 15019 OAKEN CROFT DR.
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City | BAKERSFIELD
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State | CA
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Zip | 93314
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Country | US
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Telephone | 661-836-0000
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Fax | 661-836-0006
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUKHWINDER SINGH GILL
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Credential | D.D.S.
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Telephone | 661-854-3306
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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 | 50373
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 50373
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License Number State | CA
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