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General NPI Number Information
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NPI Number | 1447575097
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Entity Type | Individual
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Provider Name | GEETESHWAR SINGH MANGAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 9500 STOCKDALE HWY STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3621
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Country | US
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Telephone | 661-840-2222
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Fax | 661-840-2222
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Provider Business Mailing Address
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Address Line | 4792 PARKSCAPE DR
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City | RIVERSIDE
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State | CA
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Zip | 92505-5704
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Country | US
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Telephone | 951-785-6201
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A122865
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License Number State | CA
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