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General NPI Number Information
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NPI Number | 1326841537
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Entity Type | Individual
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Provider Name | GAGANDEEP DHILLON
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Gender | Male
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1235 STRATFORD AVE
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City | DIXON
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State | CA
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Zip | 95620-2024
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Country | US
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Telephone | 707-678-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 7825 HYDE RD
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City | DIXON
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State | CA
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Zip | 95620-9666
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 90827
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License Number State | CA
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