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General NPI Number Information
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NPI Number | 1487602819
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Entity Type | Individual
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Provider Name | MANJIT SINGH DHILLON MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 700 17TH ST STE 102
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City | MODESTO
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State | CA
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Zip | 95354-1248
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Country | US
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Telephone | 209-488-3728
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Fax | 209-653-0585
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Provider Business Mailing Address
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Address Line | 4120 DALE RD STE J8-266
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City | MODESTO
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State | CA
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Zip | 95356-9232
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Country | US
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Telephone | 209-522-6100
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Fax | 209-522-6110
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 89879
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 89879
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 89879
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License Number State | CA
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