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General NPI Number Information
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NPI Number | 1508586603
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Entity Type | Individual
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Provider Name | SHUBPREET KAUR MANGAT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1650 RESPONSE RD
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City | SACRAMENTO
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State | CA
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Zip | 95815-4807
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Country | US
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Telephone | 916-614-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 787 GRAFTON ST
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City | MANTECA
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State | CA
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Zip | 95337-8570
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Country | US
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Telephone | 209-341-9749
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH88428
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License Number State | CA
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