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General NPI Number Information
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NPI Number | 1487468047
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Entity Type | Individual
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Provider Name | JASVIR SINGH GILL PMHNP
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Gender | Male
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 802
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City | LITTLE ELM
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State | TX
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Zip | 75068-1920
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Country | US
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Telephone | 469-731-0034
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Fax |
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Provider Business Mailing Address
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Address Line | 940 FM 544 UNIT 1161
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City | WYLIE
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State | TX
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Zip | 75098
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 1019146
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License Number State | TX
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