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General NPI Number Information
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NPI Number | 1285077669
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Entity Type | Individual
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Provider Name | NAGVIR K SANDHU D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 500 W HOSPITAL RD
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City | FRENCH CAMP
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State | CA
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Zip | 95231-9693
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Country | US
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Telephone | 209-468-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 17097 LONGVIEW CT
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City | LATHROP
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State | CA
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Zip | 95330-8262
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Country | US
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Telephone | 209-505-5168
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2200
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5454
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License Number State | CA
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