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General NPI Number Information
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NPI Number | 1306455407
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Entity Type | Organization
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Legal Business Name | G SEKHON, A PC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 255 N LINCOLN ST
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City | DIXON
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State | CA
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Zip | 95620-3208
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Country | US
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Telephone | 707-678-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 W MARCH LN STE 206
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City | STOCKTON
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State | CA
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Zip | 95219-6567
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Country | US
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Telephone | 209-594-0485
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Fax | 209-594-0720
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Authorized Official
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Title or Position | OWNER
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Name | DR. GURSIMRAT K. SEKHON
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Credential | DDS
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Telephone | 916-691-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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