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General NPI Number Information
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NPI Number | 1376252155
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Entity Type | Individual
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Provider Name | GURJIT KAUR TALWAR FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 701 HIGHLAND SPRINGS AVE STE 5
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City | BEAUMONT
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State | CA
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Zip | 92223-2550
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Country | US
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Telephone | 951-533-7295
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Fax |
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Provider Business Mailing Address
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Address Line | 11169 TRADITIONS CT
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 209-300-3133
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95143646
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License Number State | CA
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