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General NPI Number Information
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NPI Number | 1427736693
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Entity Type | Individual
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Provider Name | JASKIRAT SINGH
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Gender | Male
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 1931 E 20TH ST
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City | CHICO
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State | CA
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Zip | 95928-6341
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Country | US
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Telephone | 530-961-5926
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 EATON RD UNIT 116
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City | CHICO
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State | CA
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Zip | 95973-5650
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Country | US
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Telephone | 610-864-7135
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 109174
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License Number State | CA
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