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General NPI Number Information
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NPI Number | 1457518425
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Entity Type | Individual
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Provider Name | DR. SIMRET NANDA
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1055 W HENDERSON AVE STE 2
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City | PORTERVILLE
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State | CA
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Zip | 93257-1490
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Country | US
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Telephone | 888-774-6443
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 CAMINO DIABLO STE 120
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3979
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Country | US
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Telephone | 925-388-6785
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 239254
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License Number State | NY
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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 | A106232
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License Number State | CA
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