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General NPI Number Information
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NPI Number | 1477424216
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Entity Type | Individual
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Provider Name | SIMRAN KAUR
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2255 MORELLO AVE STE 121
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1855
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Country | US
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Telephone | 510-224-6556
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 LA VERANDA PL
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City | MARTINEZ
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State | CA
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Zip | 94553-5400
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95287351
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License Number State | CA
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