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General NPI Number Information
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NPI Number | 1407500275
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Entity Type | Individual
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Provider Name | NAVDEEP GILL
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Gender | Male
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 1215 PLUMAS ST STE 1401
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City | YUBA CITY
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State | CA
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Zip | 95991-3456
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Country | US
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Telephone | 530-446-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 1171 YOLANDA DR
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City | YUBA CITY
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State | CA
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Zip | 95993-8103
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Country | US
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Telephone | 530-329-6705
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 107275
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License Number State | CA
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