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General NPI Number Information
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NPI Number | 1306000922
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Entity Type | Individual
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Provider Name | JASWINDER PAL SINGH BAJWA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/13/2008
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 6608 MERCY CT STE B
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City | FAIR OAKS
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State | CA
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Zip | 95628-3171
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Country | US
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Telephone | 619-432-2592
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 MERCY CT STE B
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City | FAIR OAKS
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State | CA
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Zip | 95628-3171
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Country | US
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Telephone | 619-432-2592
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD443751
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A118049
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A118049
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License Number State | CA
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