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NPI 1306024849

NPI 1306024849 : HIMMAT S GILL MD INC : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1306024849
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIMMAT S GILL MD INC 
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Dates
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    Enumeration Date     |    02/07/2008
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    Last Update Date     |    06/24/2019
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Provider Practice Location Address
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    Address Line         |    7135 N CHESTNUT AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-0362
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    Country              |    US
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    Telephone            |    559-447-8632
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    Fax                  |    559-447-8872
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Provider Business Mailing Address
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    Address Line         |    7135 N CHESTNUT AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-0362
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    Country              |    US
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    Telephone            |    559-447-8632
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    Fax                  |    559-447-8872
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     JOANNE R AUSTRUM 
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    Credential           |    
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    Telephone            |    559-447-8632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    
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