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General NPI Number Information
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NPI Number | 1336942481
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Entity Type | Organization
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Legal Business Name | NORCAL BEHAVIORAL MEDICAL GROUP INC.
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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 | 680 MOWRY AVE
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City | FREMONT
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State | CA
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Zip | 94536-4113
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Country | US
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Telephone | 925-448-0881
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2688
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City | DUBLIN
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State | CA
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Zip | 94568-0268
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Country | US
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Telephone | 925-448-0881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JAPSHARAN GILL
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Credential | M.D.
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Telephone | 925-448-0881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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