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NPI 1497906135

NPI 1497906135 : VIR PRATAP SINGH BRAR DDS : SACARAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1497906135
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    Entity Type          |    Individual 
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    Provider Name        |    VIR PRATAP SINGH BRAR DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2008
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    Last Update Date     |    09/30/2008
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Provider Practice Location Address
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    Address Line         |    930 FLORIN RD SUITE # 104
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    City                 |    SACARAMENTO
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    State                |    CA
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    Zip                  |    95831-5001
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    Country              |    US
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    Telephone            |    916-421-2424
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    Fax                  |    916-400-2555
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Provider Business Mailing Address
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    Address Line         |    930 FLORIN RD SUITE # 104
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    City                 |    SACARAMENTO
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    State                |    CA
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    Zip                  |    95831
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    Country              |    US
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    Telephone            |    916-421-2424
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    Fax                  |    916-400-2555
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    52832
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    License Number State |    CA
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