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General NPI Number Information
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NPI Number | 1467682260
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Entity Type | Individual
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Provider Name | JAGDEEP KAUR MD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 8120 TIMBERLAKE WAY STE 210B
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City | SACRAMENTO
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State | CA
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Zip | 95823-5414
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Country | US
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Telephone | 916-917-7316
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Fax | 866-481-8756
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Provider Business Mailing Address
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Address Line | 8120 TIMBERLAKE WAY STE 210B
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City | SACRAMENTO
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State | CA
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Zip | 95823-5414
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Country | US
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Telephone | 916-917-7316
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Fax | 866-481-8756
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | C170263
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | C170263
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License Number State | CA
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