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General NPI Number Information
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NPI Number | 1346078086
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Entity Type | Individual
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Provider Name | MANDEEP KAUR CHADHA AUD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 20101 LAKE CHABOT RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5305
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Country | US
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Telephone | 510-204-1844
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Fax |
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Provider Business Mailing Address
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Address Line | 446 OLD NEWPORT BLVD STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4246
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Country | US
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Telephone | 949-438-6772
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Fax | 949-631-2030
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 3932
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License Number State | CA
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