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General NPI Number Information
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NPI Number | 1285171546
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Entity Type | Organization
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Legal Business Name | MANJIT SRAN MD INCORPORATED
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 1220 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-3411
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Country | US
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Telephone | 530-671-0550
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Fax | 530-777-9901
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Provider Business Mailing Address
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Address Line | PO BOX 698
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City | ROSEVILLE
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State | CA
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Zip | 95678-0698
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Country | US
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Telephone | 530-671-0550
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Fax | 530-777-9901
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANJIT SINGH SRAN
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Credential | M.D.
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Telephone | 530-671-0550
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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 | A138138
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License Number State | CA
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