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General NPI Number Information
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NPI Number | 1376589663
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Entity Type | Individual
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Provider Name | SURENDER PAL SINGH PUNIA MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 91 GREGORY LN STE 20
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4925
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Country | US
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Telephone | 925-825-1766
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 789
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City | DANVILLE
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State | CA
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Zip | 94526-0789
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Country | US
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Telephone | 925-825-1766
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Fax | 925-825-1763
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | A77004
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A77004
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License Number State | CA
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