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General NPI Number Information
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NPI Number | 1326179342
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Entity Type | Organization
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Legal Business Name | YOGIC REALITY, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 1400 E CHURCH ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-5906
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Country | US
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Telephone | 505-927-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 812 DOLORES DR
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City | SANTA BARBARA
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State | CA
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Zip | 93109-1612
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Country | US
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Telephone | 505-927-3480
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIRI ATMA SINGH KHALSA
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Credential | M.D.
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Telephone | 505-927-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 93-155
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License Number State | NM
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