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General NPI Number Information
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NPI Number | 1427288588
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Entity Type | Individual
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Provider Name | GUNJEET K KALA AHLUWALIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 220 LAGUNA RD STE 5
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City | FULLERTON
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State | CA
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Zip | 92835-2523
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Country | US
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Telephone | 714-879-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LAGUNA RD STE 5
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City | FULLERTON
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State | CA
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Zip | 92835-2523
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Country | US
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Telephone | 714-879-2980
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A117446
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-34474
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License Number State | KS
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